Active NPI
Andrea Redd
- Occupational Therapy Assistant
- Sheridan, AR
National Provider Identifier
1861901597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OT-A507
- Practice address
- 707 Ridge Dr
Sheridan, AR 72150-7778 - Phone
- (870) 942-3131
- NPI assigned
- Sep 26, 2017
- Last updated
- Sep 26, 2017
- 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 Therapy Assistant | 224Z00000X | OT-A507 | AR | Primary |
Addresses
Primary practice location
707 Ridge Dr
Sheridan, AR 72150-7778
Mailing address
21801 Arch St
Little Rock, AR 72206-9233
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 |
|---|---|---|---|
| OT-A507 | AR | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506384000000",
"number": "1861901597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21801 ARCH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722069233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 RIDGE DR",
"city": "SHERIDAN",
"state": "AR",
"postal_code": "721507778",
"telephone_number": "870-942-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDD",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2017-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AR",
"license": "OT-A507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, AR
- Lesia Pratt, AGPCNP
- Evangeline Lamanilao Price, APRN, PMHNP-BC
- Bailie Prince, LAC
- Pro Active Rehab, Inc (Pro-Active Physical Therapy Sheridan)
- Brittany Pruitt, LCSW
- Michael Ryan Reed, QBHP
- Karen Rineheart, LPE
- Ashley Robbins, MHPP
- Rodman & Armstrong Partnership (Sheridan Eyecare Clinic)
- Paula Ross, RN, CPM, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.