Active NPI
Kristy A England, OTL
- Specialist
- Fayetteville, AR
National Provider Identifier
1144501966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- O-T1150
- Practice address
- 116 W Watson St # 1
Fayetteville, AR 72701-4232 - Phone
- (870) 612-2224
- NPI assigned
- Sep 7, 2011
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | O-T1150 | AR | Primary |
Addresses
Primary practice location
116 W Watson St # 1
Fayetteville, AR 72701-4232
Mailing address
986 Elmwood Street
Ste B
Springdale, AR 72762
Phone (479) 750-7778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O-T1150 | Medicaid | AR |
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 |
|---|---|---|---|
| O-T1150 | AR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jarvis Pediatric Therapy, Inc. | Specialist | Past | Accepting new patients |
| Jarvis Pediatric Therapy Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Springdale, AR
- NPI 1164859039
-
- Specialist
- Springdale, AR
- NPI 1467561688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1144501966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "986 ELMWOOD STREET",
"address_2": "STE B",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "72762",
"telephone_number": "479-750-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 W WATSON ST # 1",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727014232",
"telephone_number": "870-612-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLAND",
"first_name": "KRISTY",
"middle_name": "A",
"credential": "OTL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "O-T1150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "O-T1150",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.