Active NPI
Karina Kennedy
- Occupational Therapist
- Paragould, AR
National Provider Identifier
1588047997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2017-036
- Practice address
- 1910 Rector Rd
Paragould, AR 72450-2004 - Phone
- (870) 240-8500
- Fax
- (870) 240-8505
- NPI assigned
- Jul 2, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Occupational Therapist | 225X00000X | OT2017-036 | AR | Primary |
Addresses
Primary practice location
1910 Rector Rd
Paragould, AR 72450-2004
Mailing address
602 N Walton Blvd
Bentonville, AR 72712-4576
Phone (479) 464-1060
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 |
|---|---|---|---|
| OT2017-036 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509408000000",
"number": "1588047997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 N WALTON BLVD",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124576",
"telephone_number": "479-464-1060",
"fax_number": "479-271-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 RECTOR RD",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724502004",
"telephone_number": "870-240-8500",
"fax_number": "870-240-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "KARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-02",
"last_updated": "2017-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OT2017-036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.