Annelise Kathryn Haile, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA4486 Issued in CA

Practice address

255 N Lincoln St Ste a
Dixon, CA 95620-3238

Phone

(707) 366-5246

NPI assigned

Aug 20, 2018

Last updated

Mar 31, 2023By 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.

• Speech Therapy Consulting, Inc.

  • Speech-Language Pathologist
  • Dixon, CA
  • NPI 1730702804
  NPD

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1619457645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 CLAREMONT DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N LINCOLN ST STE A",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956203238",
            "telephone_number": "707-366-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILE",
        "first_name": "ANNELISE",
        "middle_name": "KATHRYN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA4486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Ann-Marie Gatchel
• Karrie Suzanne Gonzales, P.T.
• Sasha Jordan Gould, PHARM.D.
• Gurcharanjit Kaur Nurse Practitioner Inc
• Margie Louise Hackett, M.C.
• Leslie Rhea Hanagan, SLP
• Brandon Scott Hendricks, DO
• G Lawrence Holloway, D.D.S.
• Tanea Ingram
• Robin Jackson, RW

• Occupational Therapy Assistant in Dixon, CA
• Providers in Dixon, CA by specialty
• Occupational Therapy Assistant in California

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