Active NPI
Melissa Catherine Wampler, OTR
- Pediatric Occupational Therapist
- White House, TN
National Provider Identifier
1902979123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 4241
- Practice address
- 185 Blueberry St
White House, TN 37188-8161 - Phone
- (317) 345-4098
- NPI assigned
- Nov 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2112 | NM | |
| Pediatric Occupational Therapist | 225XP0200X | 4241 | TN | Primary |
Addresses
Primary practice location
185 Blueberry St
White House, TN 37188-8161
Mailing address
1980 Mesa Grande Loop NW
Rio Rancho, NM 87144
Phone (505) 890-0454
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 |
|---|---|---|---|
| 2112 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1902979123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1980 MESA GRANDE LOOP NW",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "87144",
"telephone_number": "505-890-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 BLUEBERRY ST",
"city": "WHITE HOUSE",
"state": "TN",
"postal_code": "371888161",
"telephone_number": "317-345-4098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAMPLER",
"first_name": "MELISSA",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "2112",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TN",
"license": "4241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White House, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.