Active NPI
Olivia Edinger
- Occupational Therapy Assistant
- Fayetteville, NC
National Provider Identifier
1053012948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 13207
- Practice address
- 231 Treetop Dr
Fayetteville, NC 28311-0606 - Phone
- (843) 754-5147
- NPI assigned
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 13207 | NC | Primary |
Addresses
Primary practice location
231 Treetop Dr
Fayetteville, NC 28311-0606
Mailing address
928 Tamarack Dr Apt 12302
Fayetteville, NC 28311-3703
Phone (910) 554-6222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13207 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1053012948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 TAMARACK DR APT 12302",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283113703",
"telephone_number": "910-554-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 TREETOP DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283110606",
"telephone_number": "843-754-5147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDINGER",
"first_name": "OLIVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "13207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
- Eve Saucier Eder
- Hagen Elizabeth Edgar, MSW, LCSWA
- Dustin Todd Edge, PHARMD
- Jenny Campbell Edgemon, M.S., CCC-A
- Faith Marie Edgren, LCSW
- Chris L. Edmonds, MSW, CMSW, LCSW
- Latina Sharisse Edmonds, MA, LPCA
- Lauryn Marissa Edmonds, PT, DPT
- Alecia Edmund
- Educare Community Living Corporation - North Carolina (Community Alternatives North Carolina)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.