Deana Higdon

Key facts

NPI

1154600823

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapy Assistant 224Z00000X

License

KY-A4082 (KY)

Practice address

95 Honeysuckle Dr
Leitchfield, KY 42754-7660

Phone

(270) 230-7602

NPI assigned

Aug 11, 2011

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 11, 2011.

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1154600823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 HONEYSUCKLE DR",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427547660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 HONEYSUCKLE DR",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427547660",
            "telephone_number": "270-230-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGDON",
        "first_name": "DEANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "KY-A4082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leitchfield, KY

• Luke Hayden Hatfield
• Casey Yeakel Hay, MD
• Jessica Ellen Johnson Haycraft, OD
• Kia Whitney Hayes
• Larissa Haynes, SLP-CCC
• Norris Freeman Higdon, DMD
• Emma Katherine Hodges, CSA
• Robert Holland, CRNA
• Linel Denise Holwager, D.M.D.
• Hospital Care Consultants of Leitchfield

All providers in Leitchfield, KY · Occupational Therapy Assistant in Kentucky