Individual provider Active NPI

Kari Walden, COTA

  • Occupational Therapy Assistant
  • Ward, AR
National Provider Identifier
1215082912
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT-A486 Issued in AR
Practice address
1500 Wilson Loop
Ward, AR 72176-8656
Phone
(501) 588-3211
Fax
(501) 843-2270
NPI assigned
Jan 24, 2007
Last updated
Oct 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X O-T0652 AR
Occupational Therapy Assistant 224Z00000X OT-A486 AR Primary

Addresses

Primary practice location

1500 Wilson Loop
Ward, AR 72176-8656

Mailing address

5532 JFK Blvd
North Little Rock, AR 72116-6708
Phone (501) 588-3211

Other practice location 1

5532 JFK Blvd
North Little Rock, AR 72116-6708
Phone (501) 588-3211

Other identifiers 1

IdentifierTypeStateIssuer
162629731MedicaidAR

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
O-T0652ARMDOccupational Therapy Assistant
OT-A486ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Therapy and Consulting Services, PA PastSince Apr 24, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1215082912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166708",
            "telephone_number": "501-588-3211",
            "fax_number": "501-353-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WILSON LOOP",
            "city": "WARD",
            "state": "AR",
            "postal_code": "721768656",
            "telephone_number": "501-588-3211",
            "fax_number": "501-843-2270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5532 JFK Blvd",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721166708",
            "country_code": "US",
            "telephone_number": "501-588-3211",
            "fax_number": "501-353-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "KARI",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "O-T0652",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162629731",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ward, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.