Active NPI
Randall Nugent
- Occupational Therapy Assistant
- McComb, MS
National Provider Identifier
1396920526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 206 Maryland Ave
McComb, MS 39648-3926 - Phone
- (601) 250-4815
- NPI assigned
- Jan 7, 2008
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
206 Maryland Ave
McComb, MS 39648-3926
Mailing address
3304 N FM 2148
Texarkana, TX 75503-4808
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1396920526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3304 N FM 2148",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755034808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 MARYLAND AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396483926",
"telephone_number": "601-250-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUGENT",
"first_name": "RANDALL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
- Tiffanie Nix
- Nobles Family & Behavioral Health PLLC
- James A Nobles, M.D.
- Nopain Associates LLC.
- Marla Nottingham
- Albertina Nunnery
- Sholitha Nunnery
- Ndeke Nyirenda, M.D.
- Ochsner Clinic LLC (Ochsner McComb Arrhythmia)
- Ochsner Clinic LLC (Ochsner Health Center for Children-Pediatric Specialties-McComb)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.