Individual provider Active NPI

Andrea Lynn Dekarske, MS, OTR

  • Occupational Therapist
  • Greenwood Village, CO
National Provider Identifier
1508145384
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2905 Issued in CO
Practice address
4850 S Yosemite St
Greenwood Village, CO 80111-1308
Phone
(720) 747-2300
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2905 CO Primary

Addresses

Primary practice location

4850 S Yosemite St
Greenwood Village, CO 80111-1308

Mailing address

4850 S Yosemite St
Greenwood Village, CO 80111-1308
Phone (720) 747-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2905COMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1508145384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 S YOSEMITE ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111308",
            "telephone_number": "720-747-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 S YOSEMITE ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111308",
            "telephone_number": "720-747-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKARSKE",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "MS, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "2905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.