Nickolas Coones

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A973 Issued in AR

Practice address

201 S Giles Ave
Gentry, AR 72734-9320

Phone

(479) 736-8562

NPI assigned

Jun 1, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gentry Public School

  • Local Education Agency (LEA)
  • Gentry, AR
  • NPI 1194162214
  NPD (past)
• Gentry School District

  • Local Education Agency (LEA)
  • Gentry, AR
  • NPI 1326198342
  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1992185490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "GENTRY",
            "state": "AR",
            "postal_code": "727340195",
            "telephone_number": "479-640-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S GILES AVE",
            "city": "GENTRY",
            "state": "AR",
            "postal_code": "727349320",
            "telephone_number": "479-736-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONES",
        "first_name": "NICKOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Bailey
• Stefanie Fatemeh Barr, FNP-C
• Alexa Suzanne Billings
• Catherine Elaine Casey
• John Elton Caswell, M.D.
• Tahmara Coones
• Damon Cole Cripps, DC
• Ford Dental Care
• Jerry Derek Ford, DDS
• Gentry Family Dentistry PLLC

• Occupational Therapy Assistant in Gentry, AR
• Providers in Gentry, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.