Active NPI
Kimberly Tarver
- Occupational Therapy Assistant
- Ferriday, LA
National Provider Identifier
1881014868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- Z20628
- Practice address
- 200 Luneau Rd
Ferriday, LA 71334-4203 - Phone
- (318) 757-1625
- Fax
- (318) 757-8018
- NPI assigned
- Apr 17, 2014
- Last updated
- Apr 17, 2014
- 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 | Z20628 | LA | Primary |
Addresses
Primary practice location
200 Luneau Rd
Ferriday, LA 71334-4203
Mailing address
200 Luneau Rd
Ferriday, LA 71334-4203
Phone (318) 757-1625
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 |
|---|---|---|---|
| Z20628 | LA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1881014868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LUNEAU RD",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "713344203",
"telephone_number": "318-757-1625",
"fax_number": "318-757-8018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LUNEAU RD",
"city": "FERRIDAY",
"state": "LA",
"postal_code": "713344203",
"telephone_number": "318-757-1625",
"fax_number": "318-757-8018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARVER",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "LA",
"license": "Z20628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferriday, LA
- Special Care Services of Louisiana Inc (Precision Caregivers)
- Special Care Services of Louisiana, Inc (Precision Caregivers)
- Samantha Elizabeth Strange, FNP
- Bridgette Stuckey
- Donna Tarver
- Danecia J Taylor
- Tayu Huang MD LTD
- The United Hands Youth Center
- Tom T. Milliken, DDS LLC
- Amber Leigh Trisler, LCOTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.