Active NPI
Heather A Poole, OTRL
- Specialist
- Mount Sterling, KY
National Provider Identifier
1962612689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- KY-R2978
- Practice address
- 318 West High Street
Mount Sterling, KY 40353-9339 - Phone
- (859) 498-8647
- NPI assigned
- May 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | KY-R2978 | KY | Primary |
Addresses
Primary practice location
318 West High Street
Mount Sterling, KY 40353-9339
Mailing address
406 Harney Dr
Winchester, KY 40391-9738
Phone (859) 744-1126
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 |
|---|---|---|---|
| KY-R2978 | KY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Therapy Services PSC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Mount Sterling, KY
- NPI 1770708968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962612689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 HARNEY DR",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403919738",
"telephone_number": "859-744-1126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 WEST HIGH STREET",
"city": "MOUNT STERLING",
"state": "KY",
"postal_code": "403539339",
"telephone_number": "859-498-8647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "HEATHER",
"middle_name": "A",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "KY-R2978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Sterling, KY
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.