Active NPI
Audrey Spinks
- Occupational Therapist
- Bowling Green, KY
National Provider Identifier
1346623774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- BOTOCT00212089
- Practice address
- 1528 Highland Way
Bowling Green, KY 42104-3246 - Phone
- (270) 779-5655
- NPI assigned
- Jul 2, 2015
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8438 | NC | |
| Occupational Therapist | 225X00000X | 116461 | TX | |
| Occupational Therapist | 225X00000X | 008832 | OH | |
| Occupational Therapist | 225X00000X | BOTOCT00212089 | KY | Primary |
| Occupational Therapist | 225X00000X | 14972 | CA | |
| Occupational Therapist | 225X00000X | 04348 | CO |
Addresses
Primary practice location
1528 Highland Way
Bowling Green, KY 42104-3246
Mailing address
1528 Highland Way
Bowling Green, KY 42104-3246
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 |
|---|---|---|---|
| 04348 | CO | MD | Occupational Therapist |
| BOTOCT00212089 | KY | MD | Occupational Therapist |
| 008832 | OH | MD | Occupational Therapist |
| 14972 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1346623774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 HIGHLAND WAY",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 HIGHLAND WAY",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043246",
"telephone_number": "270-779-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINKS",
"first_name": "AUDREY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-02",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "8438",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "116461",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "008832",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "BOTOCT00212089",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "14972",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "04348",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.