Andria Wallen

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

1806 24TH Ave NW
Norman, OK 73069-6392

Phone

(405) 857-8280

NPI assigned

Jun 28, 2022

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

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.

• Kid'S Choice Therapies, LLC

  • Health Service Clinic/Center
  • Norman, OK
  • NPI 1669008231
  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1356073431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696392",
            "telephone_number": "405-857-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLEN",
        "first_name": "ANDRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Wallace
• David E Wallace
• Juliet C Wallace, RPH
• Sandra V Wallace, RN
• Whitney Antia Wallace
• Beatrice Waller
• Brooke Ann Walling, APRN-CNP, FNP-C
• Doran Delaine Walters
• Kathleen J Wandel, BHCM, MPA
• Wandro Dental of Norman

• Occupational Therapy Assistant in Norman, OK
• Providers in Norman, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.