Shaquanda Raquel Hardy, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA4639 Issued in NM

Practice address

10320 Cottonwood Park NW
Albuquerque, NM 87114-7008

Phone

(505) 250-5204

NPI assigned

Jul 21, 2023

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1134809486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W GLADDEN DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016019",
            "telephone_number": "505-402-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 COTTONWOOD PARK NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871147008",
            "telephone_number": "505-250-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "SHAQUANDA",
        "middle_name": "RAQUEL",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "OTA4639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Takuya Hardy, MD
• Leah Catherine Hardy, MS, LCGC
• Madalene Adella Hardy, RN
• Mary Jo Hardy, CRNA
• Renee Hardy
• Stefan Hardy, DPT
• Tylina Hardy, NM LMT #5901
• David Austyne Hare
• Kristen Hare, OTR/L
• Antonia Harford, MD

• Occupational Therapy Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Occupational Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.