Ashlen Nicole McRae, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR3957 Issued in AR

Practice address

168 W College Ave
Monticello, AR 71655-4820

Phone

(870) 367-6825

NPI assigned

Jul 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Advantages of Southeast Arkansas, Inc.

  • Case Management Agency
  • Monticello, AR
  • NPI 1134347818
  NPD (past)

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1245076736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 W COLLEGE AVE",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554820",
            "telephone_number": "870-367-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 W COLLEGE AVE",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554820",
            "telephone_number": "870-367-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "ASHLEN",
        "middle_name": "NICOLE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKiever Pharmacy
• Samantha McKinney
• Jasmine Simone McKissick, MD
• Shellathia L McPherson
• Lorra Ann McQuay, AT
• Meaningful Movement LLC
• Toma Gale Menotti, PHARMD
• Shannon Michel
• Leslie Biddle Midlick, PT
• Joseph Pruett Miles, DDS

• Occupational Therapist in Monticello, AR
• Providers in Monticello, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.