Active NPI
Indrakshi Dubey
- Occupational Therapist
- Southaven, MS
National Provider Identifier
1548774029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0T3445
- Practice address
- 1880 Goodman Rd E
Southaven, MS 38671-9552 - Phone
- (662) 483-1049
- NPI assigned
- Nov 20, 2017
- 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 | 2377 | TN | |
| Occupational Therapist | 225X00000X | 0T3445 | MS | Primary |
Addresses
Primary practice location
1880 Goodman Rd E
Southaven, MS 38671-9552
Mailing address
8618 Edenfield CV
Germantown, TN 38138-7319
Phone (901) 830-9899
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0T3445 | MS | MD | Occupational Therapist |
| 2377 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1548774029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8618 EDENFIELD CV",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381387319",
"telephone_number": "901-830-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 GOODMAN RD E",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719552",
"telephone_number": "662-483-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBEY",
"first_name": "INDRAKSHI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-20",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "2377",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "0T3445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.