Active NPI
Keleen Harris Arnold, LOTR
- Occupational Therapist
- Carencro, LA
National Provider Identifier
1902012826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- Z11028
- Practice address
- 217 Wallace Broussard Rd
Carencro, LA 70520-6325 - Phone
- (337) 278-4270
- NPI assigned
- May 15, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Z11028 | LA | Primary |
Addresses
Primary practice location
217 Wallace Broussard Rd
Carencro, LA 70520-6325
Mailing address
217 Wallace Broussard Rd
Carencro, LA 70520-6325
Phone (337) 278-4270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1301728 | Medicaid | LA |
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 |
|---|---|---|---|
| Z11028 | LA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902012826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 WALLACE BROUSSARD RD",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705206325",
"telephone_number": "337-278-4270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 WALLACE BROUSSARD RD",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705206325",
"telephone_number": "337-278-4270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "KELEEN",
"middle_name": "HARRIS",
"credential": "LOTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "Z11028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1301728",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carencro, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.