Shaundra Janelle Blair, OTD, OTR/L, CDP

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.007342 Issued in OH

Practice address

7007 Tamarack CT
Clayton, OH 45315-7900

Phone

(567) 204-0417

NPI assigned

Nov 18, 2012

Last updated

May 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Shaundra Janelle Garrett Former name

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": "1353196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558137600000",
    "number": "1306180153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 TAMARACK CT",
            "city": "CLAYTON",
            "state": "OH",
            "postal_code": "453157900",
            "telephone_number": "567-204-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 TAMARACK CT",
            "city": "CLAYTON",
            "state": "OH",
            "postal_code": "453157900",
            "telephone_number": "567-204-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "SHAUNDRA",
        "middle_name": "JANELLE",
        "name_prefix": "Mrs.",
        "credential": "OTD, OTR/L, CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-18",
        "last_updated": "2019-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT.007342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNDRA",
            "last_name": "GARRETT",
            "middle_name": "JANELLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Clayton, OH
• Providers in Clayton, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2019; 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.