Active NPI
Carlene Sue Duncan, OTR
- Occupational Therapist
- Elkhart, IN
National Provider Identifier
1194848010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31002418A
- Practice address
- 722 W Bristol St
BLDG. 810 Suite R
Elkhart, IN 46514-2988 - Phone
- (574) 215-2615
- NPI assigned
- Apr 7, 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 | 31002418A | IN | Primary |
Addresses
Primary practice location
722 W Bristol St
BLDG. 810 Suite R
Elkhart, IN 46514-2988
Mailing address
206 Krider Dr
Middlebury, IN 46540-9018
Phone (574) 825-4824
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 |
|---|---|---|---|
| 31002418A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194848010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 KRIDER DR",
"city": "MIDDLEBURY",
"state": "IN",
"postal_code": "465409018",
"telephone_number": "574-825-4824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 W BRISTOL ST",
"address_2": "BLDG. 810 SUITE R",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142988",
"telephone_number": "574-215-2615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "CARLENE",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31002418A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.