Ashley Nicole Webster, COTA/L
Individual provider Active NPI Contractor · El Dorado, AR
NPI 1437419645 · NPPES record last updated May 22, 2012
Key facts
- NPI
- 1437419645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- OT-A688 (AR)
- Practice address
- 804 N Yocum Ave Apt 121
El Dorado, AR 71730-4369 - Phone
- (870) 312-2561
- NPI assigned
- May 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-A688 | AR | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OT-A688 | AR | Yes |
Addresses
Primary practice location
804 N Yocum Ave Apt 121
El Dorado, AR 71730-4369
Mailing address
804 N Yocum Ave Apt 121
El Dorado, AR 71730-4369
Phone (870) 312-2561
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191536721 | Medicaid | AR |
Other providers in El Dorado, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.