Active NPI
Belford Kit Nazareno, OTRL
- Occupational Therapist
- Pine Bluff, AR
National Provider Identifier
1053588715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR2035
- Practice address
- JRMC 1600 West 40TH Ave
Pine Bluff, AR 71603 - Phone
- (870) 541-7790
- NPI assigned
- May 13, 2008
- Last updated
- May 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225X00000X | OTR2035 | AR | Primary |
Addresses
Primary practice location
JRMC 1600 West 40TH Ave
Pine Bluff, AR 71603
Mailing address
1005 Thelma St
Benton, AR 72015-5043
Phone (870) 329-7100
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 |
|---|---|---|---|
| OTR2035 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1053588715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 THELMA ST",
"city": "BENTON",
"state": "AR",
"postal_code": "720155043",
"telephone_number": "870-329-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JRMC 1600 WEST 40TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "71603",
"telephone_number": "870-541-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARENO",
"first_name": "BELFORD",
"middle_name": "KIT",
"name_prefix": "Mr.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR2035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.