Active NPI
Kelli Davis
- Occupational Therapist
- West Monroe, LA
National Provider Identifier
1891279899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTT.200150
- Practice address
- 109 Guest House Dr
West Monroe, LA 71292-5003 - Phone
- (318) 387-3900
- NPI assigned
- Sep 17, 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 Therapist | 225X00000X | OTT.200150 | LA | Primary |
Addresses
Primary practice location
109 Guest House Dr
West Monroe, LA 71292-5003
Mailing address
450 Kendall Ridge CT
West Monroe, LA 71292-2478
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTT.200150 | LA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1891279899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 KENDALL RIDGE CT",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712922478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 GUEST HOUSE DR",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712925003",
"telephone_number": "318-387-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-17",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "OTT.200150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
- Kristen Marie Daubert, PHARMD
- David Ashley MD DMD Oral Surgery Group, a Professional Dental Corporation
- Sarah Owen Davidson, PA-C
- Cresha Tanara-Tulani Davis, M.D.
- John William Davis, DC
- Madison Davis
- Stephanie Davis, MSW, LCSW
- Kelsey Diane Dearmon, CPNP-PC
- Donald Shane Debnam, FNP
- Mark S. Debord, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.