Active NPI
Amy Duval
- Occupational Therapist
- Nashua, NH
National Provider Identifier
1124173679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1391
- Practice address
- 460 Amherst St
Nashua, NH 03063-1220 - Phone
- (603) 577-8400
- Fax
- (603) 577-8405
- NPI assigned
- Jan 24, 2007
- 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 | 1391 | NH | Primary |
Addresses
Primary practice location
460 Amherst St
Nashua, NH 03063-1220
Mailing address
386 Rimmon St
Manchester, NH 03102-3715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13Y002570NH01 | Other | NH | ANTHEM |
| 781314 | Other | NH | MVP |
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 |
|---|---|---|---|
| 1391 | NH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1124173679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 RIMMON ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 AMHERST ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030631220",
"telephone_number": "603-577-8400",
"fax_number": "603-577-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVAL",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "1391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "13Y002570NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "781314",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.