Active NPI
Darien Beatty
- Occupational Therapy Assistant
- Leitchfield, KY
National Provider Identifier
1558856427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 240947
- Practice address
- 635 S Main St Ste B
Leitchfield, KY 42754-1056 - Phone
- (270) 287-0656
- NPI assigned
- Jun 24, 2018
- 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 | 240947 | KY | Primary |
Addresses
Primary practice location
635 S Main St Ste B
Leitchfield, KY 42754-1056
Mailing address
635 S Main St Ste B
Leitchfield, KY 42754-1056
Phone (270) 287-0656
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 |
|---|---|---|---|
| 240947 | KY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Intervention and Consultation Services, LLC | 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 and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Leitchfield, KY
- NPI 1780092957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1558856427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 S MAIN ST STE B",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427541056",
"telephone_number": "270-287-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 S MAIN ST STE B",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427541056",
"telephone_number": "270-287-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "DARIEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-24",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KY",
"license": "240947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leitchfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.