Active NPI
Sheenagh E Gividen, OTR/L
- Occupational Therapist
- Louisville, KY
National Provider Identifier
1093163636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 167239
- Practice address
- 1410 Long Run Rd
Louisville, KY 40245-4334 - Phone
- (502) 244-8011
- Fax
- (502) 244-6631
- NPI assigned
- May 24, 2016
- 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 Therapist | 225X00000X | 167239 | KY | Primary |
Addresses
Primary practice location
1410 Long Run Rd
Louisville, KY 40245-4334
Mailing address
1410 Long Run Rd
Louisville, KY 40245-4334
Phone (502) 244-8011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100412050 | Medicaid | KY | |
| 000001016341 | Other | KY | ANTHEM |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1093163636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 LONG RUN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454334",
"telephone_number": "502-244-8011",
"fax_number": "502-244-6631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 LONG RUN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454334",
"telephone_number": "502-244-8011",
"fax_number": "502-244-6631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIVIDEN",
"first_name": "SHEENAGH",
"middle_name": "E",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "167239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100412050",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000001016341",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.