Active NPI
Crystal Michelle Mealer, OT
- Occupational Therapist
- Clinton, TN
National Provider Identifier
1801285895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT0000002970
- Practice address
- 381 Lee Rd
Clinton, TN 37716-4239 - Phone
- (865) 264-4511
- Fax
- (865) 264-4511
- NPI assigned
- Jan 14, 2015
- 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 | OT0000002970 | TN | Primary |
Addresses
Primary practice location
381 Lee Rd
Clinton, TN 37716-4239
Mailing address
381 Lee Rd
Clinton, TN 37716-4239
Phone (865) 264-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 618038400 | Other | TN | DEEOIC DEPARTMENT OF LABOR PROVIDER |
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 |
|---|---|---|---|
| OT0000002970 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1801285895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 LEE RD",
"city": "CLINTON",
"state": "TN",
"postal_code": "377164239",
"telephone_number": "865-264-4511",
"fax_number": "865-264-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 LEE RD",
"city": "CLINTON",
"state": "TN",
"postal_code": "377164239",
"telephone_number": "865-264-4511",
"fax_number": "865-264-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEALER",
"first_name": "CRYSTAL",
"middle_name": "MICHELLE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-14",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "OT0000002970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEEOIC DEPARTMENT OF LABOR PROVIDER",
"identifier": "618038400",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.