Marilyn Domineck Pride, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

224Z00000X Issued in VA

Practice address

12997 Nettles Dr
Newport News, VA 23602-6913

Phone

(757) 249-2699

Fax

(757) 249-5589

NPI assigned

Jan 31, 2013

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

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": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1386983070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DALZELL CT",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236932051",
            "telephone_number": "757-660-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12997 NETTLES DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026913",
            "telephone_number": "757-249-2699",
            "fax_number": "757-249-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDE",
        "first_name": "MARILYN",
        "middle_name": "DOMINECK",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "224Z00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Naira Preston
• Caitlin Prevette, CRNA
• James E. Price Jr., LMFT, LPC
• Joanna S. Price, LMFT, LPC
• McKinley Lenard Price, DDS
• Xaviera Pride
• Casey Priest, DNP
• Pamela Gregory Priest, NP
• Suzette Victoria Priester, BT
• Henry Menton Prillaman, M.D.

• Occupational Therapy Assistant in Newport News, VA
• Providers in Newport News, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.