Ciciley Kay Basse, COTAL

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1831 Issued in WY

Practice address

326 Parsley Blvd
Cheyenne, WY 82007-1014

Phone

(307) 632-2991

NPI assigned

Jan 8, 2008

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

Other names 1

• Ciciley Kay Nettles, Ruark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stride Learning Center

  • Clinic/Center
  • Cheyenne, WY
  • NPI 1811030554
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1265617377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 COLT CT",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820079737",
            "telephone_number": "307-921-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 PARSLEY BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820071014",
            "telephone_number": "307-632-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSE",
        "first_name": "CICILEY",
        "middle_name": "KAY",
        "name_prefix": "Miss",
        "credential": "COTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WY",
            "license": "1831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CICILEY",
            "last_name": "NETTLES, RUARK",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dawn Bartlett
• Tyler Bartow
• Susan Ann Barttelbort, R.PH.
• Randall Alan Basden, MSED, LPC
• Pamela Rae Basile
• Merrill Bassett, DDS
• Jean Denise Basta, MD
• Rachel Batcher
• Tehla Marie Bates Stayer
• Megan Bates, RBT

• Occupational Therapy Assistant in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Occupational Therapy Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.