Active NPI
Ashley Nicole Parsons, MS, OTR
- Occupational Therapist
- Madison, MS
National Provider Identifier
1417491507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3855
- Practice address
- 102 Lexington Dr
Madison, MS 39110-6952 - Phone
- (601) 521-4934
- Fax
- (601) 228-4616
- NPI assigned
- Dec 8, 2016
- Last updated
- Jan 3, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC018193 | PA | |
| Occupational Therapist | 225X00000X | OT19915 | FL | |
| Occupational Therapist | 225X00000X | OT3855 | MS | Primary |
Addresses
Primary practice location
102 Lexington Dr
Madison, MS 39110-6952
Mailing address
PO Box 415
Madison, MS 39130-0415
Phone (601) 826-2609
Other practice location 1
165 Sweetbriar Cir
Canton, MS 39046-8056
Phone (601) 826-2609
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OC018193 | Other | PA | COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE |
| OT19915 | Other | FL | STATE OF FLORIDA DEPARTMENT OF HEALTH |
| OT-3855 | Other | MS | MISSISSIPPI STATE BOARD OF HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ashley@dandelionpediatrictherapy.com | Direct |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT19915 | FL | MD | Occupational Therapist |
| OT3855 | MS | MD | Occupational Therapist |
| OC018193 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Haven | Current | Accepting new patients | |
| Dandelion Pediatric Therapy, LLC | Occupational Therapy Assistant | Current | Accepting new patients |
Locations
102 Lexington Dr
Gluckstadt, MS 39110
Phone (601) 521-4934
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Occupational Therapist
- Madison, MS
- NPI 1053080382
Occupational Therapy Assistant
-
dba Pediatric Haven Autism Center
- Adolescent and Children Mental Health Clinic/Center
- Madison, MS
- NPI 1043858053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1417491507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415",
"city": "MADISON",
"state": "MS",
"postal_code": "391300415",
"telephone_number": "601-826-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 LEXINGTON DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391106952",
"telephone_number": "601-521-4934",
"fax_number": "601-228-4616"
}
],
"practiceLocations": [
{
"address_1": "165 Sweetbriar Cir",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "MS",
"postal_code": "390468056",
"country_code": "US",
"telephone_number": "601-826-2609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARSONS",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "MS, OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-08",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC018193",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT19915",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT3855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE",
"identifier": "OC018193",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
"identifier": "OT19915",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI STATE BOARD OF HEALTH",
"identifier": "OT-3855",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ashley@dandelionpediatrictherapy.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "165 Sweetbriar Cir",
"city": "Canton",
"state": "MS",
"country_code": "US",
"postal_code": "390468056",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.