Tessie Nadine West, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

11109 Issued in FL

Practice address

3662 SE 134TH St # Sat
Belleview, FL 34420-5636

Phone

(352) 239-1563

NPI assigned

May 14, 2024

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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1154170082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 SE 134TH ST # SAT",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344205636",
            "telephone_number": "352-239-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 SE 134TH ST # SAT",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344205636",
            "telephone_number": "352-239-1563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3662 SE 134th St # Sat",
            "address_purpose": "LOCATION",
            "city": "Belleview",
            "state": "FL",
            "postal_code": "344205636",
            "country_code": "US",
            "telephone_number": "352-239-1563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "TESSIE",
        "middle_name": "NADINE",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "11109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laranda Wilson
• Jessica Rose Wolf

• Occupational Therapy Assistant in Belleview, FL
• Providers in Belleview, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.