Active NPI
Karrie Tallakson
- Occupational Therapist
- Greenwood, AR
National Provider Identifier
1578524005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 486
- Practice address
- 2620 Shadow Lake Dr
Greenwood, AR 72936-6202 - Phone
- (479) 996-5706
- NPI assigned
- Apr 2, 2006
- 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 | 486 | AR | Primary |
Addresses
Primary practice location
2620 Shadow Lake Dr
Greenwood, AR 72936-6202
Mailing address
2620 Shadow Lake Dr
Greenwood, AR 72936-6202
Phone (479) 996-5706
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130721721 | Medicaid | AR | |
| 100651690A | Medicaid | OK | |
| 5T589 | Other | AR | BCBS |
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 |
|---|---|---|---|
| 486 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1578524005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 SHADOW LAKE DR",
"city": "GREENWOOD",
"state": "AR",
"postal_code": "729366202",
"telephone_number": "479-996-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 SHADOW LAKE DR",
"city": "GREENWOOD",
"state": "AR",
"postal_code": "729366202",
"telephone_number": "479-996-5706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLAKSON",
"first_name": "KARRIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-02",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130721721",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100651690A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5T589",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, AR
- Sarah Denise Stevens, MASSAGE THERAPIST
- Stewart Drugs
- Stewart Drugs
- Samantha Mae Stilley, LMT
- Stonehaven Behavioral Health and Wellness, Inc
- Kimberly Taylor, M.S., CCC-SLP
- Nicole Simpkins Taylor, O.D.
- Lindsay Terry, PT, DPT
- The Guidance Center - RCF Greenwood (WACGC-RCF Greenwood)
- Crissy Ann Thompson, PLPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.