Suzetta Dawn Daniel, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

110693 Issued in TX

Practice address

1901 Medi Park Dr Ste 65
Amarillo, TX 79106-2105

Phone

(806) 468-7611

Fax

(806) 468-7603

NPI assigned

Oct 23, 2006

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

Other identifiers 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1609959485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 65",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062105",
            "telephone_number": "806-468-7611",
            "fax_number": "806-468-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 65",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062105",
            "telephone_number": "806-468-7611",
            "fax_number": "806-468-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "SUZETTA",
        "middle_name": "DAWN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161718501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8T0422",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julieanne Dameron, M.S., R.D., L.D.
• Daniel & Max, LLC
• Daniel J Meadors DDS Inc
• Daniel Salim
• Michael Evan Daniel, M.D.
• Sadra Cheyenne Daniels, PHARM.D.
• Jerry Don Danner, RPH, CDE
• Tanya Dee Darby, PMHNP
• Yvonne Darcy, LVN
• Molly Ralls Darling

• Occupational Therapist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.