Active NPI
Amber Creech
- Occupational Therapy Assistant
- Kinston, NC
National Provider Identifier
1871069286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 11708
- Practice address
- 312 Warren Ave
Kinston, NC 28501-3840 - Phone
- (252) 523-0082
- NPI assigned
- Oct 23, 2018
- 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 | 11708 | NC | Primary |
Addresses
Primary practice location
312 Warren Ave
Kinston, NC 28501-3840
Mailing address
425 S Seventh St
Hookerton, NC 28538-7192
Phone (252) 286-5061
Other practice location 1
1304 SE 2nd St
Snow Hill, NC 28580-2014
Phone (252) 747-8126
Other practice location 2
2401 Wayne Memorial Dr
Goldsboro, NC 27534-1727
Phone (919) 736-2121
Other practice location 3
128 Snow Hill St
Ayden, NC 28513-7237
Phone (252) 746-8223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 964809440 | Other | NC | UNITED HEALTHCARE |
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 |
|---|---|---|---|
| 11708 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1871069286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 S SEVENTH ST",
"city": "HOOKERTON",
"state": "NC",
"postal_code": "285387192",
"telephone_number": "252-286-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 WARREN AVE",
"city": "KINSTON",
"state": "NC",
"postal_code": "285013840",
"telephone_number": "252-523-0082"
}
],
"practiceLocations": [
{
"address_1": "1304 SE 2nd St",
"address_purpose": "LOCATION",
"city": "Snow Hill",
"state": "NC",
"postal_code": "285802014",
"country_code": "US",
"telephone_number": "252-747-8126",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 Wayne Memorial Dr",
"address_purpose": "LOCATION",
"city": "Goldsboro",
"state": "NC",
"postal_code": "275341727",
"country_code": "US",
"telephone_number": "919-736-2121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "128 Snow Hill St",
"address_purpose": "LOCATION",
"city": "Ayden",
"state": "NC",
"postal_code": "285137237",
"country_code": "US",
"telephone_number": "252-746-8223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREECH",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "11708",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "964809440",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.