Active NPI
Jerrica Carter
- Occupational Therapy Assistant
- Jonesboro, AR
National Provider Identifier
1982117818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OT-A1153
- Practice address
- 3005 Apache Dr
Jonesboro, AR 72401-7432 - Phone
- (870) 336-0238
- Fax
- (870) 336-0238
- NPI assigned
- Nov 14, 2017
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OT-A1153 | AR | Primary |
Addresses
Primary practice location
3005 Apache Dr
Jonesboro, AR 72401-7432
Mailing address
3005 Apache Dr
Jonesboro, AR 72401-7432
Phone (870) 336-0238
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 |
|---|---|---|---|
| OT-A1153 | AR | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1982117818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 APACHE DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017432",
"telephone_number": "870-336-0238",
"fax_number": "870-336-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 APACHE DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017432",
"telephone_number": "870-336-0238",
"fax_number": "870-336-0238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "JERRICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-14",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AR",
"license": "OT-A1153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.