Nolytan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

NOLYTAN

Practice address

1503 Lawndale Dr
Tupelo, MS 38801-6133

Phone

(318) 237-2739

NPI assigned

Jan 4, 2024

Last updated

Feb 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Natylon Nicole Anderson, OTR/LNPI 1104975192

Title

Occupational Therapist

Phone

(318) 237-2739

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natylon Nicole Anderson, OTR/L

  • Occupational Therapist
  • Ridgeland, MS
  • NPI 1104975192
  NPD Authorized official

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1194595678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 LAWNDALE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016133",
            "telephone_number": "318-237-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 LAWNDALE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016133",
            "telephone_number": "318-237-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLYTAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "NATYLON",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "318-237-2739",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Nichols
• Rachel Stephens Nichols, NP
• Nolan Counseling, LLC
• Daniele Nolan
• Melissa Richardson Nolan, NP-C
• Sally Reagan Norman, MS
• Norris V Crump MD Internal Medicine PA
• North East Orthopaedics PA
• North Mississippi Allergy and Asthma Center PLLC
• North Mississippi Ambulatory Surgery Center LLC

• Occupational Therapist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.