Andrea Nicole Hathcock, COTA

Primary specialty

Low Vision Occupational Therapy AssistantTaxonomy code 224ZL0004X

License

11134

Practice address

3315 Faith Church Rd
Indian Trail, NC 28079-9300

Phone

(704) 882-3420

NPI assigned

Feb 4, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1336731033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 FAITH CHURCH RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 FAITH CHURCH RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799300",
            "telephone_number": "704-882-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHCOCK",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Low Vision",
            "state": null,
            "license": "11134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deja Nicole Harriage
• Brittany Diane Harrill, DC
• Harris Teeter LLC
• Melody Harris, LPC
• Hasmi Ramesh Patel, DMD, PLLC
• Lindsey Marie Hattersley, D.C.
• Sheena Devika Shukla Hauser, DDS
• Helen Bernice Hayes, FNP-BC, PMHNP-BC
• Heartwood Ventures, LLC
• Quantavia Nashea Heath, BSN, RN

• Occupational Therapy Assistant in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.