Active NPI
Andriana Marie Falcon, MOTR/L
- Pediatric Occupational Therapist
- Lake Jackson, TX
National Provider Identifier
1649534801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 112729
- Practice address
- 210 Lake Rd Ste 700B
Lake Jackson, TX 77566-4988 - Phone
- (979) 264-9700
- NPI assigned
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 112729 | TX | Primary |
Addresses
Primary practice location
210 Lake Rd Ste 700B
Lake Jackson, TX 77566-4988
Mailing address
210 Lake Rd Ste 700B
Lake Jackson, TX 77566-4988
Phone (979) 264-9700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112729 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442620800000",
"number": "1649534801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 LAKE RD STE 700B",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775664988",
"telephone_number": "979-264-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 LAKE RD STE 700B",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775664988",
"telephone_number": "979-264-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALCON",
"first_name": "ANDRIANA",
"middle_name": "MARIE",
"credential": "MOTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2015-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "112729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.