Active NPI
Lindsey Janae Davies, COTA
- Occupational Therapy Assistant
- Meridian, ID
National Provider Identifier
1366785198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-1203
- Practice address
- 1351 W Pine Ave
Meridian, ID 83642-5031 - Phone
- (208) 888-7049
- NPI assigned
- Mar 29, 2013
- 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 Therapy Assistant | 224Z00000X | OTA-1203 | ID | Primary |
Addresses
Primary practice location
1351 W Pine Ave
Meridian, ID 83642-5031
Mailing address
5442 E Felly Rim CT
Boise, ID 83716-5012
Phone (831) 902-6937
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 |
|---|---|---|---|
| OTA-1203 | ID | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364515200000",
"number": "1366785198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5442 E FELLY RIM CT",
"city": "BOISE",
"state": "ID",
"postal_code": "837165012",
"telephone_number": "831-902-6937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 W PINE AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425031",
"telephone_number": "208-888-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "LINDSEY",
"middle_name": "JANAE",
"name_prefix": "Miss",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-29",
"last_updated": "2013-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "ID",
"license": "OTA-1203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.