Active NPI
Catherine Nolan
- Occupational Therapist
- Fayetteville, AR
National Provider Identifier
1205237724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR2734
- Practice address
- 2474 E Joyce Blvd Ste 2
Fayetteville, AR 72703-4932 - Phone
- (479) 521-8326
- Fax
- (479) 521-5439
- NPI assigned
- Sep 16, 2014
- 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 | OTR2734 | AR | Primary |
Addresses
Primary practice location
2474 E Joyce Blvd Ste 2
Fayetteville, AR 72703-4932
Mailing address
15659 Hickory LN
Lowell, AR 72745-9244
Phone (479) 879-4859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200220002290 | AR | Practitioner - Occupational Therapist in Private Practice | 5294162822 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR2734 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1205237724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15659 HICKORY LN",
"city": "LOWELL",
"state": "AR",
"postal_code": "727459244",
"telephone_number": "479-879-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2474 E JOYCE BLVD STE 2",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034932",
"telephone_number": "479-521-8326",
"fax_number": "479-521-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR2734",
"primary": true
}
],
"identifiers": [],
"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 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.