Individual provider Active NPI

Kayla Miller

  • Occupational Therapist
  • Trumann, AR
National Provider Identifier
1285305979
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-A1306 Issued in AR
Practice address
221 Ar-463
Apt. 261
Trumann, AR 72472-7240
Phone
(870) 351-5017
NPI assigned
Sep 23, 2021
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
OT-A1306ARMDOccupational 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

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.

Verify at the official NPI Registry.