Active NPI
Bobbie Nicole Faulkner, B.S. IN OT
- Occupational Therapist
- Corbin, KY
National Provider Identifier
1730310152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- KY-R3447
- Practice address
- 99 Kelso TRL
Corbin, KY 40701-8502 - Phone
- (859) 893-2533
- Fax
- (606) 864-6602
- NPI assigned
- Aug 3, 2009
- 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 | KY-R3447 | KY | Primary |
Addresses
Primary practice location
99 Kelso TRL
Corbin, KY 40701-8502
Mailing address
99 Kelso TRL
Corbin, KY 40701-8502
Phone (859) 893-2533
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-R3447 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249257600000",
"number": "1730310152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 KELSO TRL",
"city": "CORBIN",
"state": "KY",
"postal_code": "407018502",
"telephone_number": "859-893-2533",
"fax_number": "606-864-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 KELSO TRL",
"city": "CORBIN",
"state": "KY",
"postal_code": "407018502",
"telephone_number": "859-893-2533",
"fax_number": "606-864-6602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNER",
"first_name": "BOBBIE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "B.S. IN OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-03",
"last_updated": "2009-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "KY-R3447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.