Active NPI
Melanie Kirk
- Occupational Therapist
- Shreveport, LA
National Provider Identifier
1508043266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTT.200226
- Practice address
- 460 Ashley Ridge Blvd Ste 200
Shreveport, LA 71106-7228 - Phone
- (318) 865-2225
- NPI assigned
- Jan 24, 2008
- 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 Therapist | 225X00000X | OTT.200226 | LA | Primary |
Addresses
Primary practice location
460 Ashley Ridge Blvd Ste 200
Shreveport, LA 71106-7228
Mailing address
460 Ashley Ridge Blvd Ste 200
Shreveport, LA 71106-7228
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1508043266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 ASHLEY RIDGE BLVD STE 200",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 ASHLEY RIDGE BLVD STE 200",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067228",
"telephone_number": "318-865-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "MELANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-24",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "OTT.200226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.