Active NPI
Anna Elizabeth Faulkner, OT
- Occupational Therapist
- Center Ridge, AR
National Provider Identifier
1629524236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR2991
- Practice address
- 1025 Catholic Point Rd
Center Ridge, AR 72027-8403 - Phone
- (501) 208-7640
- NPI assigned
- Sep 1, 2016
- 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 | OTR2991 | AR | Primary |
Addresses
Primary practice location
1025 Catholic Point Rd
Center Ridge, AR 72027-8403
Mailing address
1025 Catholic Point Rd
Center Ridge, AR 72027-8403
Phone (501) 208-7640
Other names 1
- Anna Elizabeth Beck
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 |
|---|---|---|---|
| OTR2991 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1629524236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 CATHOLIC POINT RD",
"city": "CENTER RIDGE",
"state": "AR",
"postal_code": "720278403",
"telephone_number": "501-208-7640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 CATHOLIC POINT RD",
"city": "CENTER RIDGE",
"state": "AR",
"postal_code": "720278403",
"telephone_number": "501-208-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNER",
"first_name": "ANNA",
"middle_name": "ELIZABETH",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR2991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "BECK",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Center Ridge, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.