MS. DARLENE S BOUDREAUX (NPI# 1396841490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396841490 |
| Entity Type | Individual |
| Full Name | MS. DARLENE S BOUDREAUX |
| Other Name | MRS. DARLENE S ST JOHN |
| Credential | OTR |
| Practice Address |
1811 W Dewitt Henry Dr Beebe AR 72012-2026 |
| Mailing Address |
897 Shiloh Rd Beebe AR 72012-9897 |
| Practice Telephone | 5012881199 |
| Practice Fax Number | 5018823179 |
| Mailing Telephone | 5012881199 |
| Mailing Fax Number | 5018823179 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2010-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTR751 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 155469721 | 05 | |
| AR | BLUE CROSS BLUE SHIELD | 5Y177 | 01 |
| Street Address |
1811 W DEWITT HENRY DR |
| City | BEEBE |
| State | AR |
| Zip Code | 72012-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881234722 | Danielle Shock | Speech-Language Pathologist | Wilbur Mills Coop, 114 N Main, Beebe, AR 72012 | 2020-01-08 |
| 1356982946 | Rachel Lynn Martin | Technician | 120 Friendship Ln, Beebe, AR 72012 | 2019-10-04 |
| 1992758387 | Charles Edward Pillow | Physician Assistant | 710-a Dewitt Henry Drive, Beebe, AR 72012 | 2006-05-18 |
| 1710935762 | Dewey Mcafee | Family Medicine | 710 A Dewitt Henry Drive, Beebe, AR 72012 | 2006-05-04 |
| 1295708428 | Johnny Ross Paine | Family Medicine | 710 A Dewitt-henry Drive, Beebe, AR 72012 | 2006-02-08 |
| 1710973086 | Beebe Retirement Center, Inc. | Skilled Nursing Facility | 709 Mcafee Dr, Beebe, AR 72012 | 2005-09-22 |
| 1477051654 | Life Within Counseling Group, LLC | Counselor | 905 Mcafee Medical Circle, Beebe, AR 72012 | 2018-01-23 |
| 1588109698 | Riley Benjumen Pate | Counselor | 905 Mcafee Medical Circle, Beebe, AR 72012 | 2016-12-28 |
| 1205185204 | Lauren Ashley Farris | Occupational Therapist | 27 Hwy 64 W, Beebe, AR 72012 | 2012-09-05 |
| 1831121037 | Dewey R Mcafee Do Pa | Family Medicine | 710-a Dewitt Henry Drive, Beebe, AR 72012 | 2006-07-07 |
| Find all providers in zip 72012 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524180 | Destination Education, LLC | Occupational Therapist | 503 Galina St, Beebe, AR 72012-3812 | 2020-09-23 |
| 1215053954 | Brenda J Swisher | Occupational Therapist | 516 Arthur Kirk Rd, Beebe, AR 72012-9304 | 2007-03-22 |
| 1801265921 | Hannah Hall | Occupational Therapist | 205 W College St, Beebe, AR 72012-2903 | 2015-09-18 |
| 1205185204 | Lauren Ashley Farris | Occupational Therapist | 27 Hwy 64 W, Beebe, AR 72012 | 2012-09-05 |
| 1083843486 | Amy Sue Trobis | Occupational Therapist | 27 Hwy 64 W, Beebe, AR 72012-2094 | 2009-07-07 |
| 1518034644 | Raelena Lee Crooks | Occupational Therapist | 1201 W Center St, Beebe, AR 72012-3103 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556929 | Julia Zane Carter | Occupational Therapist | 198 Military Rd, Marion, AR 72364-1703 | 2020-10-26 |
| 1679171383 | Above and Beyond Mobile Therapy Pllc | Occupational Therapist | 510 Spriggs Rd, North Little Rock, AR 72118-2336 | 2020-10-14 |
| 1245838580 | Ciara Fleer | Occupational Therapist | 1408 Nixon Rd, Lavaca, AR 72941-3116 | 2020-10-09 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1700492287 | Darby L Durel | Occupational Therapist | 2102 Woodway Dr, Texarkana, AR 71854-8282 | 2020-09-19 |
| 1073128526 | Emma Joyce Kinsey | Occupational Therapist | 12075 Seba Rd, Centerton, AR 72719-9009 | 2020-09-11 |
| 1609488758 | Kaylin Gene Cripps | Occupational Therapist | 302 W 2nd St, Gentry, AR 72734-5502 | 2020-08-20 |
| 1376151316 | Lydia Christene Dickson | Occupational Therapist | 198 Little River 128, Foreman, AR 71836-8520 | 2020-07-15 |
| 1265050447 | Bridget Furlong | Occupational Therapist | 2226 Barncy Lane, White Hall, AR 71602 | 2020-07-14 |
| 1780200782 | Arkansas Physical Therapy Services of Conway, LLC | Occupational Therapist | 4550 Prince St, Conway, AR 72034-8077 | 2020-06-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.