Active NPI
Nadine Harkless
- Occupational Therapist
- Agawam, MA
National Provider Identifier
1568861391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11313
- Practice address
- 2 Belden CT
T1
Agawam, MA 01001-3803 - Phone
- (413) 231-6390
- NPI assigned
- Aug 18, 2014
- Last updated
- Aug 18, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11313 | MA | Primary |
Addresses
Primary practice location
2 Belden CT
T1
Agawam, MA 01001-3803
Mailing address
2 Belden CT
T1
Agawam, MA 01001-3803
Phone (413) 231-6390
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 |
|---|---|---|---|
| 11313 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408320000000",
"number": "1568861391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BELDEN CT",
"address_2": "T1",
"city": "AGAWAM",
"state": "MA",
"postal_code": "010013803",
"telephone_number": "413-231-6390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BELDEN CT",
"address_2": "T1",
"city": "AGAWAM",
"state": "MA",
"postal_code": "010013803",
"telephone_number": "413-231-6390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARKLESS",
"first_name": "NADINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-18",
"last_updated": "2014-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Agawam, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.