Erica Gregore

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

TA3162 Issued in MS

Practice address

309 S 16TH Ave
Hattiesburg, MS 39401-6250

Phone

(228) 297-7450

NPI assigned

Jun 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1466899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466899200000",
    "number": "1760833263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S 16TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016250",
            "telephone_number": "228-297-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S 16TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016250",
            "telephone_number": "228-297-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORE",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-26",
        "last_updated": "2016-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MS",
            "license": "TA3162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gachavis M Green, D.P.M.
• John Green III, D.O
• Lauren Greenspoon
• Charles E Greer, D.D.S.
• Frederick O'Neal Gregg, D.O.
• Amanda Gregory, CMHT
• Gagandeep Singh Grewal, M.D.
• Dorcus Layatta Griffin, RKT
• Minor Leonard Griffin, III, D.M.D.
• Hope Alysia Griffith-Jones, M.S., PCMHT, PCAT

• Occupational Therapy Assistant in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Occupational Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2016; 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.