Individual provider Active NPI

Melissa Jane Crayne, OTR/L

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1386943397
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
KY-R2937 Issued in KY
Practice address
3607 Oakvista PL
Louisville, KY 40245-8479
Phone
(502) 836-7088
NPI assigned
Mar 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31003697A IN
Occupational Therapist 225X00000X KY-R2937 KY Primary

Addresses

Primary practice location

3607 Oakvista PL
Louisville, KY 40245-8479

Mailing address

1300 S Jefferson St
Princeton, KY 42445-6040
Phone (502) 836-7088

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

State licenses

LicenseStateTypeSpecialty
31003697AINMDOccupational Therapist
KY-R2937KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell County Hospital, Inc CurrentSince Feb 1, 2020 Accepting new patients
Caldwell County Hospital, Inc Current Accepting new patients
Caldwell County Hospital, Inc. CurrentSince Feb 1, 2020 Accepting new patients

Locations

100 Medical Center Dr
Princeton, KY 42445
Phone (270) 365-0300

550 US Highway 62 W
Ste 400
Princeton, KY 42445
Phone (270) 365-0300

320 Micbeth Dr
Princeton, KY 42445
Phone (270) 365-0320

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIDFCD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1386943397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S JEFFERSON ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424456040",
            "telephone_number": "502-836-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 OAKVISTA PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402458479",
            "telephone_number": "502-836-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAYNE",
        "first_name": "MELISSA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003697A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KY-R2937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.