Sandra Kay Twaddle

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

Practice address

410 Veterans Ave
Talihina, OK 74571

Phone

(918) 567-3293

Fax

(918) 567-3294

NPI assigned

Oct 14, 2013

Sex

Female

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

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1114355963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13512 SW HIGHWAY 2",
            "city": "TUSKAHOMA",
            "state": "OK",
            "postal_code": "745741349",
            "telephone_number": "918-448-3330",
            "fax_number": "918-567-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 VETERANS AVE",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "74571",
            "telephone_number": "918-567-3293",
            "fax_number": "918-567-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWADDLE",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talihina Manor LLC (Talihina Manor)
• Talihina Medical Equipment
• Talihina Public Schools
• Karen Ann Taylor, ARNP
• Kandice Thompson
• Jessica Arlene Vaughn, P.T.
• Adam Waldon, D.O.
• Dakota Smith Waldroop, O.D.
• Matthew Wallis
• Bridget Ana Walsh, DO

• Rehabilitation Psychologist in Talihina, OK
• Providers in Talihina, OK by specialty
• Rehabilitation Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.