Stacey Bankston

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-A581 Issued in AR

Practice address

6400 Trinity Dr
Pine Bluff, AR 71603-7802

Phone

(870) 879-0638

NPI assigned

Oct 27, 2009

Last updated

Oct 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keystone Therapy

  • Occupational Therapist
  • Sheridan, AR
  • NPI 1871219295
  NPD Authorized official

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1093041048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 TRINITY DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037802",
            "telephone_number": "870-879-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 TRINITY DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037802",
            "telephone_number": "870-879-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKSTON",
        "first_name": "STACEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OT-A581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autonomy Health Care Providers LLC
• Michael Aziz, MD
• Michelle Leigh Bagby, DNP, FNP-C, PMHNP-BC
• Louise Bailey, SOCIAL WORKER
• Sherrita Bailey
• Carmen L Barnes, ND
• Kendria Barnes, BS
• La'Kimbra Barnes
• Latecia Denay Barnes, QBHP
• Sherry Lynn Barnes, APN

• Occupational Therapist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.