Katherine N McCardle

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2757 Issued in MS

Practice address

69 Pine Tree Rd
Ellisville, MS 39437-5770

Phone

(601) 606-0061

NPI assigned

Jul 3, 2008

Last updated

Mar 17, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700049319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 PINE TREE RD",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394375770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 PINE TREE RD",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394375770",
            "telephone_number": "601-606-0061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15600 San Pedro Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782323740",
            "country_code": "US",
            "telephone_number": "210-494-2343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARDLE",
        "first_name": "KATHERINE",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210174",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT2757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lloyd B. Wolfe, Jr., D.M.D.
• Debra Long, LPC
• Magnolia Gardens Assisted Living
• Jammie Marques
• Pamela McAndrews, IDD WAIVER SERVICES
• Kathleen Frances McCoy, P.T.
• Audrey McCullum, CCSS
• Tina Denise McDyess, PHD
• Lacey Leigh McLaurin, M.S. R.D.
• Clarence Lee Middleton, RPH

• Occupational Therapist in Ellisville, MS
• Providers in Ellisville, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.