Active NPI
Lesli Farmer, OT
- Occupational Therapist
- Greenville, MS
National Provider Identifier
1790991982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT0169
- Practice address
- 1707 S Colorado St Ste a
Greenville, MS 38703-7275 - Phone
- (662) 335-8332
- Fax
- (662) 355-8852
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 | OT0169 | MS | Primary |
Addresses
Primary practice location
1707 S Colorado St Ste a
Greenville, MS 38703-7275
Mailing address
1707 S Colorado St Ste a
Greenville, MS 38703-7275
Phone (662) 335-8332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9015486 | Medicaid | MS |
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 |
|---|---|---|---|
| OT0169 | MS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1790991982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 S COLORADO ST STE A",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387037275",
"telephone_number": "662-335-8332",
"fax_number": "662-355-8852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 S COLORADO ST STE A",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387037275",
"telephone_number": "662-335-8332",
"fax_number": "662-355-8852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "LESLI",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT0169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9015486",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.