Active NPI
Audra High
- Occupational Therapist
- West Lafayette, IN
National Provider Identifier
1235737016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31004929A
- Practice address
- 1700 Lindberg Rd
West Lafayette, IN 47906-7317 - Phone
- (765) 464-5655
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 31004929A | IN | Primary |
Addresses
Primary practice location
1700 Lindberg Rd
West Lafayette, IN 47906-7317
Mailing address
4028 Druze Ave
Lafayette, IN 47909-8260
Phone (765) 714-2558
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 |
|---|---|---|---|
| 31004929A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1235737016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4028 DRUZE AVE",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479098260",
"telephone_number": "765-714-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 LINDBERG RD",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479067317",
"telephone_number": "765-464-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGH",
"first_name": "AUDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31004929A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.