Individual provider Active NPI

Lisa Devere Carr, OTR/L

  • Occupational Therapist
  • Blairsville, GA
National Provider Identifier
1679169346
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3888 Issued in NC
Practice address
164 Nursing Home Cir
Blairsville, GA 30512-3117
Phone
(706) 745-4948
NPI assigned
Dec 17, 2020
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5521 AL
Occupational Therapist 225X00000X 3888 NC Primary
Occupational Therapist 225X00000X 20090 FL
Occupational Therapist 225X00000X 3888 FL
Occupational Therapist 225X00000X OT004384 GA

Addresses

Primary practice location

164 Nursing Home Cir
Blairsville, GA 30512-3117

Mailing address

426 Overlook Cir
Dawsonville, GA 30534-7212
Phone (678) 520-7291

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3888NCMDAddiction (Substance Use Disorder) Counselor
20090FLMDMental Health Counselor
5521ALMDOrthodontics and Dentofacial Orthopedic Dentist
3888FLMDOccupational Therapist
OT004384GAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1679169346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 OVERLOOK CIR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347212",
            "telephone_number": "678-520-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 NURSING HOME CIR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123117",
            "telephone_number": "706-745-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "LISA",
        "middle_name": "DEVERE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "5521",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "3888",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "20090",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "3888",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.