Active NPI
Meredith Ella Carter
- Occupational Therapist
- Osage Beach, MO
National Provider Identifier
1922176296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2002016485
- Practice address
- 5088 Aqua Dr
Osage Beach, MO 65065-3203 - Phone
- (314) 623-6081
- NPI assigned
- Dec 2, 2006
- 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 | 2002016485 | MO | Primary |
Addresses
Primary practice location
5088 Aqua Dr
Osage Beach, MO 65065-3203
Mailing address
5088 Aqua Dr
Osage Beach, MO 65065-3203
Phone (314) 623-6081
Other names 1
- Meredith Ella Brown
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 |
|---|---|---|---|
| 2002016485 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922176296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5088 AQUA DR",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653203",
"telephone_number": "314-623-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5088 AQUA DR",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653203",
"telephone_number": "314-623-6081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "MEREDITH",
"middle_name": "ELLA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2002016485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEREDITH",
"last_name": "BROWN",
"middle_name": "ELLA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Osage Beach, MO
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.