Active NPI
Julie Haverdink, LOT
- Occupational Therapist
- Lubbock, TX
National Provider Identifier
1235520578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 106995
- Practice address
- 5201 Indiana Ave
#200 Central
Lubbock, TX 79413-4200 - Phone
- (806) 791-2100
- Fax
- (806) 791-2105
- NPI assigned
- Feb 9, 2015
- Last updated
- Feb 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 106995 | TX | Primary |
Addresses
Primary practice location
5201 Indiana Ave
#200 Central
Lubbock, TX 79413-4200
Mailing address
PO Box 50805
Denton, TX 76206-0805
Phone (940) 380-0311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106995 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1235520578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50805",
"city": "DENTON",
"state": "TX",
"postal_code": "762060805",
"telephone_number": "940-380-0311",
"fax_number": "940-380-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 INDIANA AVE",
"address_2": "#200 CENTRAL",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794134200",
"telephone_number": "806-791-2100",
"fax_number": "806-791-2105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVERDINK",
"first_name": "JULIE",
"credential": "LOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-09",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "106995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.