Individual provider Active NPI

Heather Michelle Greenfield, COTA/L

  • Occupational Therapy Assistant
  • Madisonville, KY
National Provider Identifier
1982361523
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
A5045 Issued in KY
Practice address
150 Cornwall Dr
Madisonville, KY 42431-8781
Phone
(270) 825-0166
NPI assigned
Nov 18, 2021
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X A5045 KY Primary

Addresses

Primary practice location

150 Cornwall Dr
Madisonville, KY 42431-8781

Mailing address

90 Linda LN
Cadiz, KY 42211-9137
Phone (270) 206-0591

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

LicenseStateTypeSpecialty
A5045KYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgewood Terrace, LLC CurrentSince Nov 21, 2021 Accepting new patients
Vohra Post Acute Care Physicians of the East, PA PastSince Nov 21, 2021 Accepting new patients

Locations

150 Cornwall Dr
Madisonville, KY 42431
Phone (270) 825-0166

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1982361523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LINDA LN",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119137",
            "telephone_number": "270-206-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CORNWALL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424318781",
            "telephone_number": "270-825-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "A5045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.