Individual provider Active NPI

Lindsay Michaela Meador, COTA

  • Occupational Therapy Assistant
  • Texarkana, TX
National Provider Identifier
1629536743
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0T-A1469 Issued in AR
Practice address
4824 McKnight Rd
Texarkana, TX 75503-0935
Phone
(903) 793-6135
NPI assigned
Mar 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 215603 TX
Occupational Therapy Assistant 224Z00000X
Occupational Therapy Assistant 224Z00000X 0T-A1469 AR Primary

Addresses

Primary practice location

4824 McKnight Rd
Texarkana, TX 75503-0935

Mailing address

104 Lakeview Dr
Booneville, AR 72927-6656
Phone (870) 557-0115

Other practice location 1

158 Aztec Ln
Van Alstyne, TX 75495-3451
Phone (903) 624-4506

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

LicenseStateTypeSpecialty
0T-A1469ARMDOccupational Therapy Assistant
215603TXMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1629536743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LAKEVIEW DR",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729276656",
            "telephone_number": "870-557-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 MCKNIGHT RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030935",
            "telephone_number": "903-793-6135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Aztec Ln",
            "address_purpose": "LOCATION",
            "city": "Van Alstyne",
            "state": "TX",
            "postal_code": "754953451",
            "country_code": "US",
            "telephone_number": "903-624-4506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADOR",
        "first_name": "LINDSAY",
        "middle_name": "MICHAELA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "215603",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "0T-A1469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.