Active NPI
Lydia Karis Whitehead
- Occupational Therapy Assistant
- Texarkana, AR
National Provider Identifier
1932068061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA2188
- Practice address
- 1417 Rolling Ridge Cir
Texarkana, AR 71854-9036 - Phone
- (903) 376-6012
- NPI assigned
- Jan 15, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA2188 | AR | Primary |
| Occupational Therapy Assistant | 224Z00000X | 219089 | TX |
Addresses
Primary practice location
1417 Rolling Ridge Cir
Texarkana, AR 71854-9036
Mailing address
3949 Miller County 18
Texarkana, AR 71854-0912
Other practice location 1
3494 Summerhill Rd Ste A
Texarkana, TX 75503-3560
Phone (430) 200-4222
Other practice location 2
3004 Moores Ln
Texarkana, TX 75503-2204
Phone (903) 650-8921
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 |
|---|---|---|---|
| OTA2188 | AR | MD | Occupational Therapy Assistant |
| 219089 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772928000000",
"number": "1932068061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 MILLER COUNTY 18",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718540912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 ROLLING RIDGE CIR",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718549036",
"telephone_number": "903-376-6012"
}
],
"practiceLocations": [
{
"address_1": "3494 Summerhill Rd Ste A",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755033560",
"country_code": "US",
"telephone_number": "430-200-4222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3004 Moores Ln",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755032204",
"country_code": "US",
"telephone_number": "903-650-8921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITEHEAD",
"first_name": "LYDIA",
"middle_name": "KARIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-15",
"last_updated": "2026-03-08",
"certification_date": "2026-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AR",
"license": "OTA2188",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "219089",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.