Active NPI
Heather L. Dorrance
- Pediatric Occupational Therapist
- Columbus, MS
National Provider Identifier
1881727774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 3247
- Practice address
- 4324 Louisiana Ave
Columbus, MS 39705-7597 - Phone
- (662) 434-8544
- NPI assigned
- Mar 13, 2007
- Last updated
- Aug 12, 2010
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 3247 | SC | Primary |
Addresses
Primary practice location
4324 Louisiana Ave
Columbus, MS 39705-7597
Mailing address
4324 Louisiana Ave
Columbus, MS 39705-7597
Phone (662) 434-8544
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 |
|---|---|---|---|
| 3247 | SC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1881727774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4324 LOUISIANA AVE",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397057597",
"telephone_number": "662-434-8544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4324 LOUISIANA AVE",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397057597",
"telephone_number": "662-434-8544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORRANCE",
"first_name": "HEATHER",
"middle_name": "L.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "SC",
"license": "3247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.