Individual provider Active NPI

Carolyn K Simpson, OTR

  • Occupational Therapist
  • Diamondhead, MS
National Provider Identifier
1073839767
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
Z10569 Issued in LA
Practice address
796 Lanai PL
Diamondhead, MS 39525-3629
Phone
(228) 224-4326
NPI assigned
Apr 20, 2010
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT0217 MS
Occupational Therapist 225X00000X Z10569 LA Primary

Addresses

Primary practice location

796 Lanai PL
Diamondhead, MS 39525-3629

Mailing address

796 Lanai PL
Diamondhead, MS 39525-3629
Phone (228) 224-4326

Other practice location 1

1620 Highway 11 N Ste C
Picayune, MS 39466-2070
Phone (769) 242-2626

Other names 1

  • Carey Simpson Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
Z10569LAMDOccupational Therapist
OT0217MSMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1073839767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 LANAI PL",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253629",
            "telephone_number": "228-224-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 LANAI PL",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253629",
            "telephone_number": "228-224-4326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Highway 11 N Ste C",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394662070",
            "country_code": "US",
            "telephone_number": "769-242-2626",
            "fax_number": "769-242-2685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "CAROLYN",
        "middle_name": "K",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT0217",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z10569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAREY",
            "last_name": "SIMPSON",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Diamondhead, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.