Active NPI
Kayla Miller
- Occupational Therapist
- Trumann, AR
National Provider Identifier
1285305979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-A1306
- Practice address
- 221 Ar-463
Apt. 261
Trumann, AR 72472-7240 - Phone
- (870) 351-5017
- NPI assigned
- Sep 23, 2021
- Last updated
- Sep 23, 2021
- 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 | OT-A1306 | AR | Primary |
Addresses
Primary practice location
221 Ar-463
Apt. 261
Trumann, AR 72472-7240
Mailing address
4300 Savanah Hills Dr Apt 261
Jonesboro, AR 72404-7127
Phone (870) 351-5017
Other practice location 1
1699 Red Wolf Blvd Ste H
Jonesboro, AR 72401-5453
Phone (870) 351-5017
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Trumann | Direct |
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 |
|---|---|---|---|
| OT-A1306 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1285305979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 SAVANAH HILLS DR APT 261",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724047127",
"telephone_number": "870-351-5017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 AR-463",
"address_2": "APT. 261",
"city": "TRUMANN",
"state": "AR",
"postal_code": "724727240",
"telephone_number": "870-351-5017"
}
],
"practiceLocations": [
{
"address_1": "1699 Red Wolf Blvd Ste H",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "AR",
"postal_code": "724015453",
"country_code": "US",
"telephone_number": "870-351-5017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "KAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OT-A1306",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Trumann",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "221 AR-463",
"address_2": "Apt. 261",
"city": "Trumann",
"state": "AR",
"country_code": "US",
"postal_code": "724727240",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Trumann, AR
- Hollie Kay McLaughlin, MSN, APN, FNP
- Tanja Mead, MSN, FNP
- Cynthia Meador
- Med Care, Inc (Medical Center Pharmacy)
- Jessica Diane Meilke
- Jennifer Milligan
- Miracle Kids Success Academy of Trumann
- Miracle Kids Success Academy of Trumann
- Miracle Kids Success Academy of Trumann
- Miracle Kids Success Academy of Trumann
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.