Active NPI
Amy Flanagan Geddes, OT
- Occupational Therapist
- Brevard, NC
National Provider Identifier
1104376458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3260
- Practice address
- 59 Oakdale St
Brevard, NC 28712-3951 - Phone
- (828) 966-9036
- Fax
- (828) 966-4538
- NPI assigned
- Oct 11, 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 | 3260 | SC | Primary |
Addresses
Primary practice location
59 Oakdale St
Brevard, NC 28712-3951
Mailing address
20 Covan CV
Asheville, NC 28803-5518
Phone (828) 702-2058
Other names 1
- Amy Flanagan
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4920 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1104376458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 COVAN CV",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288035518",
"telephone_number": "828-702-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 OAKDALE ST",
"city": "BREVARD",
"state": "NC",
"postal_code": "287123951",
"telephone_number": "828-966-9036",
"fax_number": "828-966-4538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEDDES",
"first_name": "AMY",
"middle_name": "FLANAGAN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-11",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "FLANAGAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.