Active NPI
Glenda Kay Coleman, OTR
- Occupational Therapist
- Jonesboro, AR
National Provider Identifier
1356441166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR340
- Practice address
- 329 County Road 392
Jonesboro, AR 72401 - Phone
- (870) 530-7555
- NPI assigned
- Sep 22, 2006
- 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 | OTR340 | AR | Primary |
Addresses
Primary practice location
329 County Road 392
Jonesboro, AR 72401
Mailing address
329 County Road 392
Jonesboro, AR 72401
Phone (870) 530-7555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5T749 | Other | AR | BLUE CROSS BLUE SHIELD |
| 116283721 | Medicaid | AR |
Other names 1
- Mrs. Glenda C Loyd
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446249600000",
"number": "1356441166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 COUNTY ROAD 392",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "870-530-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 COUNTY ROAD 392",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "870-530-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "GLENDA",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2015-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5T749",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116283721",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GLENDA",
"last_name": "LOYD",
"middle_name": "C",
"prefix": "MRS.",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.