Active NPI
Amanda Lynn Messmer
- Occupational Therapist
- Bella Vista, AR
National Provider Identifier
1801013479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR 1940
- Practice address
- 3 Banbury LN
Bella Vista, AR 72714-3828 - Phone
- (479) 420-4312
- NPI assigned
- Apr 18, 2007
- 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 | OTR 1940 | AR | Primary |
Addresses
Primary practice location
3 Banbury LN
Bella Vista, AR 72714-3828
Mailing address
3 Banbury LN
Bella Vista, AR 72714-3828
Phone (479) 420-4312
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 |
|---|---|---|---|
| OTR 1940 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801013479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BANBURY LN",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727143828",
"telephone_number": "479-420-4312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BANBURY LN",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727143828",
"telephone_number": "479-420-4312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSMER",
"first_name": "AMANDA",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR 1940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bella Vista, AR
- Shannon McDonald, LMT
- Roberta Lee McMaster, RN
- Medical Associates of Northwest Arkansas PA
- Mercy Health Northwest Arkansas Communities
- Mercy Health Northwest Arkansas Communities
- Emily Millard, OTD, OTR/L
- Jennifer Rose Mira, APRN
- Jamie Mitchum, PHARMD
- Coleen Leann Moore, PT
- Mountaincrest Rehab of Bella Vista, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.