LAURA CHISHOLM (NPI# 1558542415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558542415 |
| Entity Type | Individual |
| Full Name | LAURA CHISHOLM |
| Practice Address |
206 Maryland Ave Mccomb MS 39648-3926 |
| Mailing Address |
5009 Nicholas Dr Texarkana TX 75503-4928 |
| Practice Telephone | 6012504815 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | OTA166 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224Z00000X | Occupational Therapy Assistant | 205617 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982752374 | Laura Caitlin Chisholm | Social Worker | 445 3rd Ave Sw, Albany, OR 97321-2272 | 2007-01-08 |
| Street Address |
206 MARYLAND AVE |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437363785 | Wendy Clayton | Occupational Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2007-05-09 |
| 1881831402 | Praveen K Ravi | Physical Therapist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2009-01-20 |
| 1093967127 | Kyla Bland | Speech-Language Pathologist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-10-21 |
| 1205088358 | Angel Marshall | Occupational Therapist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-10-21 |
| 1780835363 | Joyce Bates | Speech-Language Pathologist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-10-01 |
| 1639320385 | Jamie Calaway | Occupational Therapist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-09-30 |
| 1053561332 | Melissa Castagnetta | Occupational Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-09-24 |
| 1811147010 | Lori Wood | Speech-Language Pathologist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-09-24 |
| 1629228804 | Claire Williams | Occupational Therapist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-09-24 |
| 1548410897 | Misty Ellerby-broussard | Speech-Language Pathologist | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437363785 | Wendy Clayton | Occupational Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2007-05-09 |
| 1962986158 | Kristen Beard | Occupational Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648-2829 | 2018-09-24 |
| 1962953836 | William Wells IIi | Occupational Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2016-10-17 |
| 1437496130 | Christina Jolene Floyd | Occupational Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2013-01-15 |
| 1053561332 | Melissa Castagnetta | Occupational Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-09-24 |
| 1376790667 | Charles James | Occupational Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-08-19 |
| 1851548093 | Lisa Lamb | Occupational Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-08-19 |
| 1083878334 | Lacy Saucier Brown I | Occupational Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-07-16 |
| 1649434044 | Stacy Dickerson | Occupational Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-07-15 |
| 1932373172 | Kelly House | Occupational Therapy Assistant | 206 Maryland Ave, Mccomb, MS 39648-3926 | 2008-04-18 |
| Find all providers in MCCOMB | ||||
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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.