Active NPI
Eric L. Speight, OT
- Occupational Therapist
- Kirtland Afb, NM
National Provider Identifier
1912212689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 06571
- Practice address
- 2050A 2ND St SE
Kirtland Afb, NM 87117-5522 - Phone
- (719) 333-3107
- NPI assigned
- Aug 18, 2010
- Sex
- Male
- 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 | 06571 | MD | Primary |
Addresses
Primary practice location
2050A 2ND St SE
Kirtland Afb, NM 87117-5522
Mailing address
2050A 2ND St SE
Kirtland Afb, NM 87117-5522
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eric.speight.3@us.af.mil |
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 |
|---|---|---|---|
| 06571 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1912212689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050A 2ND ST SE",
"city": "KIRTLAND AFB",
"state": "NM",
"postal_code": "871175522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050A 2ND ST SE",
"city": "KIRTLAND AFB",
"state": "NM",
"postal_code": "871175522",
"telephone_number": "719-333-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEIGHT",
"first_name": "ERIC",
"middle_name": "L.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-18",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "06571",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eric.speight.3@us.af.mil",
"affiliation": "N",
"address_1": "2050A 2nd St SE",
"city": "Kirtland AFB",
"state": "NM",
"country_code": "US",
"postal_code": "871175522",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kirtland Afb, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.