Desirae Violette

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5136 Issued in SC

Practice address

721 Wappoo Rd
Charleston, SC 29407-5861

Phone

(843) 402-7850

NPI assigned

Oct 11, 2021

Last updated

Oct 11, 2021By the provider in NPPES

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pattisons D R E a M Academy

  • Rehabilitation Clinic/Center
  • Charleston, SC
  • NPI 1861678534
  NPD

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1548922214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 MARSH BREEZE LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668696",
            "telephone_number": "860-917-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 WAPPOO RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075861",
            "telephone_number": "843-402-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLETTE",
        "first_name": "DESIRAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "5136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard F Vincent, D.M.D.
• Katherine Vincent, NNP
• Roslyn Vinson, RN
• Michael Jeffrey Vinzani Jr., MD
• Gilbert C Vinzon
• David James Viox, MD
• Harleen Virk, RBT
• Vision Care Resources LLC
• Vision Care Resources LLC
• Visionary Eye Center

• Occupational Therapy Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.