Individual provider Active NPI

Meredith A Conaway, MS, OTR L

  • Occupational Therapist
  • Hollis, NH
National Provider Identifier
1255401873
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1781 Issued in NH
Practice address
25 Main St
Hollis, NH 03049-6544
Phone
(603) 324-5997
NPI assigned
Nov 9, 2006
Last updated
Oct 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1781 NH Primary

Addresses

Primary practice location

25 Main St
Hollis, NH 03049-6544

Mailing address

806 N Main St
Laconia, NH 03246-2603
Phone (603) 524-9090

Other practice location 1

1 Verney Dr
Greenfield, NH 03047-5000
Phone (603) 547-3311 ext. 294

Other identifiers 1

IdentifierTypeStateIssuer
30413767MedicaidNH

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1255401873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N MAIN ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462603",
            "telephone_number": "603-524-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN ST",
            "city": "HOLLIS",
            "state": "NH",
            "postal_code": "030496544",
            "telephone_number": "603-324-5997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Verney Dr",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "NH",
            "postal_code": "030475000",
            "country_code": "US",
            "telephone_number": "603-547-3311 x294",
            "fax_number": "603-547-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONAWAY",
        "first_name": "MEREDITH",
        "middle_name": "A",
        "credential": "MS, OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30413767",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.