Active NPI
Carmen Lorraine Long, OTR L
- Occupational Therapist
- Little Rock, AR
National Provider Identifier
1619922374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR142
- Practice address
- 9000 N Rodney Parham Rd
Little Rock, AR 72205-1646 - Phone
- (501) 503-5160
- Fax
- (501) 503-5160
- NPI assigned
- May 23, 2006
- 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 Therapist | 225X00000X | OTR142 | AR | Primary |
Addresses
Primary practice location
9000 N Rodney Parham Rd
Little Rock, AR 72205-1646
Mailing address
9000 N Rodney Parham Rd
Little Rock, AR 72205-1646
Phone (501) 503-5160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116099721 | Medicaid | AR |
Other names 1
- Miss Carmen Lorraine Nahlen
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 |
|---|---|---|---|
| OTR142 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Building Bridges Pediatric Therapy Services, P.L.L.C. | Current | 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.
-
- Speech-Language Pathologist
- Little Rock, AR
- NPI 1912396128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1619922374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 N RODNEY PARHAM RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722051646",
"telephone_number": "501-503-5160",
"fax_number": "501-503-5160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 N RODNEY PARHAM RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722051646",
"telephone_number": "501-503-5160",
"fax_number": "501-503-5160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "CARMEN",
"middle_name": "LORRAINE",
"name_prefix": "Mrs.",
"credential": "OTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116099721",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARMEN",
"last_name": "NAHLEN",
"middle_name": "LORRAINE",
"prefix": "MISS",
"credential": "OTR L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.