Active NPI
Carrie Hunter Pieroni, OT
- Occupational Therapist
- Lake Village, AR
National Provider Identifier
1477613008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR774
- Practice address
- 316 Main Street
Lake Village, AR 71653 - Phone
- (870) 265-3950
- Fax
- (870) 265-2525
- NPI assigned
- Dec 12, 2006
- Last updated
- Nov 24, 2020
- 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 | OTR774 | AR | Primary |
| Specialist | 174400000X | OTR774 | AR |
Addresses
Primary practice location
316 Main Street
Lake Village, AR 71653
Mailing address
530 Hwy 144 North
Lake Village, AR 71653
Phone (870) 265-3950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127048721 | Medicaid | AR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR774 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Occupational Therapy Services Inc. | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba KidSense Therapy Clinic
- Pediatric Occupational Therapist
- Lake Village, AR
- NPI 1942314893
Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1477613008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 HWY 144 NORTH",
"city": "LAKE VILLAGE",
"state": "AR",
"postal_code": "71653",
"telephone_number": "870-265-3950",
"fax_number": "870-265-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 MAIN STREET",
"city": "LAKE VILLAGE",
"state": "AR",
"postal_code": "71653",
"telephone_number": "870-265-3950",
"fax_number": "870-265-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERONI",
"first_name": "CARRIE",
"middle_name": "HUNTER",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR774",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "OTR774",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127048721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Village, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.