Active NPI
Melissa Jane Crayne, OTR/L
- Occupational Therapist
- Louisville, KY
National Provider Identifier
1386943397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- KY-R2937
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31003697A | IN | MD | Occupational Therapist |
| KY-R2937 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caldwell County Hospital, Inc | Current | Accepting new patients | |
| Caldwell County Hospital, Inc | Current | Accepting new patients | |
| Caldwell County Hospital, Inc. | Current | 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
- 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.
-
- Occupational Medicine Physician
- Princeton, KY
- NPI 1780688333
-
- Physician Assistant
- Princeton, KY
- NPI 1891207460
-
- Rural Health Clinic/Center
- Eddyville, KY
- NPI 1780464826
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.