Active NPI
James Houston, OTR
- Skilled Nursing Facility
- Tupelo, MS
National Provider Identifier
1255723730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- OT0624
- Practice address
- 2844 Traceland Dr
Tupelo, MS 38801-4200 - Phone
- (662) 680-3148
- Fax
- (877) 276-4918
- NPI assigned
- Feb 20, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | OT0624 | MS | Primary |
Addresses
Primary practice location
2844 Traceland Dr
Tupelo, MS 38801-4200
Mailing address
102 Mandi Dr
Saltillo, MS 38866-8739
Phone (662) 680-3148
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 |
|---|---|---|---|
| OT0624 | MS | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1255723730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MANDI DR",
"city": "SALTILLO",
"state": "MS",
"postal_code": "388668739",
"telephone_number": "662-680-3148",
"fax_number": "877-276-4918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2844 TRACELAND DR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014200",
"telephone_number": "662-680-3148",
"fax_number": "877-276-4918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "JAMES",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-20",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MS",
"license": "OT0624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.