Individual provider Active NPI

Natalie Hargett Caracciolo

  • Occupational Therapy Assistant
  • Ardmore, TN
National Provider Identifier
1194060491
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1535 Issued in TN
Practice address
25385 Main Street
Ardmore, TN 38449
Phone
(931) 427-2143
Fax
(931) 427-2186
NPI assigned
Nov 28, 2012
Last updated
Nov 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1535 TN Primary

Addresses

Primary practice location

25385 Main Street
Ardmore, TN 38449

Mailing address

25385 Main Street
Ardmore, TN 38449
Phone (931) 427-2143

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

LicenseStateTypeSpecialty
1535TNMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1194060491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25385 MAIN STREET",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "38449",
            "telephone_number": "931-427-2143",
            "fax_number": "931-427-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25385 MAIN STREET",
            "city": "ARDMORE",
            "state": "TN",
            "postal_code": "38449",
            "telephone_number": "931-427-2143",
            "fax_number": "931-427-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARACCIOLO",
        "first_name": "NATALIE",
        "middle_name": "HARGETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.