Holly Jill Sheridan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR1086 Issued in AR

Practice address

199 Frontier TRL
Pocahontas, AR 72455-1379

Phone

(870) 892-9156

Fax

(870) 892-9156

NPI assigned

Apr 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hands on Learning, LLC.

  • Speech-Language Pathologist
  • Paragould, AR
  • NPI 1356742852

  Occupational Therapist

  Medicare reassignment NPD
• Sheridan Occupational Therapy Services, Inc.

  • Occupational Therapist
  • Pocahontas, AR
  • NPI 1164647400
  NPD (past) Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629293949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 FRONTIER TRL",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551379",
            "telephone_number": "870-892-9156",
            "fax_number": "870-892-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 FRONTIER TRL",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551379",
            "telephone_number": "870-892-9156",
            "fax_number": "870-892-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "HOLLY",
        "middle_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer D. Salyards, LCSW
• Steven Adam Salyards, CCC-SLP
• Shared Imaging
• Amanda Shaw
• Sheridan Occupational Therapy Services, Inc.
• Michael Sheridan
• Ashlyn Katherine Shipley, CCC-SLP
• Cammie Michelle Sifford, APN
• Amy N Smith
• Aretha Cheyenne Smith, PHARMD

• Occupational Therapist in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.