Shaneka a Lavender, Cota/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5558 Issued in AZ

Legal business name

SHANEKA A LAVENDER, COTA/L

Practice address

55 S 133Rd St
Chandler, AZ 85225-6014

Phone

(678) 458-0699

NPI assigned

Sep 14, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Shaneka A Lavender

Title

Cota/L

Phone

(678) 458-0699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1063960425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S 133RD ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256014",
            "telephone_number": "678-458-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S 133RD ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256014",
            "telephone_number": "678-458-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANEKA A LAVENDER, COTA/L",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "LAVENDER",
        "authorized_official_first_name": "SHANEKA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COTA/L",
        "authorized_official_telephone_number": "678-458-0699",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "5558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.