Active NPI
Kelly Hilton Mecimore, COTA/L
- Occupational Therapy Assistant
- Chapel Hill, NC
National Provider Identifier
1790945269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5231
- Practice address
- 1716 Legion Rd
Chapel Hill, NC 27517-2390 - Phone
- (919) 942-2280
- NPI assigned
- Jun 9, 2008
- 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 Therapy Assistant | 224Z00000X | 5231 | NC | Primary |
Addresses
Primary practice location
1716 Legion Rd
Chapel Hill, NC 27517-2390
Mailing address
1716 Legion Rd
Chapel Hill, NC 27517-2390
Phone (919) 942-2280
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 |
|---|---|---|---|
| 5231 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1790945269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 LEGION RD",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275172390",
"telephone_number": "919-942-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 LEGION RD",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275172390",
"telephone_number": "919-942-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECIMORE",
"first_name": "KELLY",
"middle_name": "HILTON",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "5231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
- Tamara Meath
- Caroline Martha Mebane, MD
- Freweini Mebrahtu, APRN FNP-BC, FNP-C
- Christi Lynn Mechalske, WHNP, FNP
- Farah Fayzah Mechref, MD
- Med First Immediate Care & Family Practice PA
- Medaccess Urgent Care, PLLC
- Taylor Medeiros, PA-C
- Medical Supply Superstore at Chatham Crossing
- Chaely Jones Medley, AGPCNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.