Active NPI
Carrie Cronin
- Occupational Therapist
- Shepherd, TX
National Provider Identifier
1689065062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105520
- Practice address
- 9821 Highway 150
Shepherd, TX 77371-2293 - Phone
- (936) 520-1670
- NPI assigned
- Feb 6, 2015
- Last updated
- Feb 6, 2015
- 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 | 105520 | TX | Primary |
Addresses
Primary practice location
9821 Highway 150
Shepherd, TX 77371-2293
Mailing address
9821 Highway 150
Shepherd, TX 77371-2293
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 |
|---|---|---|---|
| 105520 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1689065062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9821 HIGHWAY 150",
"city": "SHEPHERD",
"state": "TX",
"postal_code": "773712293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9821 HIGHWAY 150",
"city": "SHEPHERD",
"state": "TX",
"postal_code": "773712293",
"telephone_number": "936-520-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONIN",
"first_name": "CARRIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "105520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shepherd, TX
- Reyna Avitia
- Behind the Scene With Mzdee LLC (Blessing Behind The Wheel Services)
- Blessed Assurance Homehealth Care, Inc.
- Dendra Janelle Butler
- Betty J Charles, LPTA
- Carly Lyndell Duncan
- Lauren Michel Estridge, MS, ATC, LAT
- Goodrich Isd
- Eric Demond Green
- Health Center of Southeast Texas (Health Center of Southeast Texas - Shepherd)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.