Heather Dawn Keirn, OTD, R/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR3340 Issued in AR

Practice address

2503 Harrison St
Batesville, AR 72501-7424

Phone

(870) 805-5793

Fax

(870) 569-8063

NPI assigned

Nov 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1437794864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 RIVER RIDGE LN",
            "city": "ROSIE",
            "state": "AR",
            "postal_code": "725719664",
            "telephone_number": "870-612-0419",
            "fax_number": "870-569-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017424",
            "telephone_number": "870-805-5793",
            "fax_number": "870-569-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIRN",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "credential": "OTD, R/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS MEDICAL BOARD LICENSE",
            "identifier": "OTR3340",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Justice
• Jordan Brooke Kallsnick
• Doreen Mpirirwe Kamoga, MD
• Candy Keefer
• Sherry Keeney
• Amber L Keith
• Jeffrey D Kellar, M.D.
• Teresa Kellar
• Laura Keller, SLP
• Robin Kerr, APN

• Occupational Therapist in Batesville, AR
• Providers in Batesville, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.