Active NPI
Carmen Elane Hudson, COTA L
- Occupational Therapy Assistant
- Pawleys Island, SC
National Provider Identifier
1497887665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2443
- Practice address
- 38 Lakes at Litchfield Dr
Pawleys Island, SC 29585-5768 - Phone
- (843) 237-0343
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 2443 | SC | Primary |
Addresses
Primary practice location
38 Lakes at Litchfield Dr
Pawleys Island, SC 29585-5768
Mailing address
113 Saint Andrews LN
Greenwood, SC 29646-1900
Phone (864) 992-8805
Other names 1
- Ms. Carmen Elane Coleman
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 |
|---|---|---|---|
| 2443 | SC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497887665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 SAINT ANDREWS LN",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296461900",
"telephone_number": "864-992-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 LAKES AT LITCHFIELD DR",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295855768",
"telephone_number": "843-237-0343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "CARMEN",
"middle_name": "ELANE",
"name_prefix": "Ms.",
"credential": "COTA L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "2443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARMEN",
"last_name": "COLEMAN",
"middle_name": "ELANE",
"prefix": "MS.",
"credential": "COTA L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pawleys Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.