Shaquail Herron, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32002643A Issued in IN

Practice address

2564 Fox Pointe Dr
Columbus, IN 47203-3181

Phone

(812) 372-0950

NPI assigned

Jun 29, 2014

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404000000000",
    "number": "1083029938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 E 18TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462184675",
            "telephone_number": "317-993-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2564 FOX POINTE DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033181",
            "telephone_number": "812-372-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "SHAQUAIL",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-29",
        "last_updated": "2014-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32002643A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Thomas Henson, MD
• Jodi G Herche, PMHNP
• Anabel Hernandez Jimenez
• Esther Hernandez
• Jesse Martin Herrman I
• Briannah Herzog
• Jordan Bradford Heskett, M.D.
• Danielle Hewitt, M.A., CCC-A
• Lesley K Hewitt
• Austin Hicks, RBT

• Occupational Therapy Assistant in Columbus, IN
• Providers in Columbus, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2014; 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.