Leanne Nicole Shepherd, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A1267 Issued in AR

Practice address

200 NW 4TH St
Bryant, AR 72022-3424

Phone

(501) 847-5660

Fax

(501) 847-5662

NPI assigned

Sep 1, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1578081212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 BRENDA DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154734",
            "telephone_number": "501-303-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NW 4TH ST",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223424",
            "telephone_number": "501-847-5660",
            "fax_number": "501-847-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "LEANNE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Brooke Sexton, PTA
• Bradley Shaw
• Reed Shaw, PHARMD
• Rosetta Marie Shelby-Calvin, DMD
• Chelsea Suzanne Shelman, PHARM.D
• Shepherd's Grace Home Health
• Simmons Chiropractic Clinic, P. a. (Chiropractic Health Center)
• J. Terry Simmons, D. C.
• Alecia Simpson, MCD, CFY-SLP
• Briana S Sims, COTA

• Occupational Therapy Assistant in Bryant, AR
• Providers in Bryant, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.