Active NPI
Arikka Nikole Utz, OTA
- Occupational Therapy Assistant
- Lake Havasu City, AZ
National Provider Identifier
1679210900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-047065
- Practice address
- 1515 Lake Havasu Ave N Ste 100
Lake Havasu City, AZ 86404-1177 - Phone
- (928) 854-5439
- Fax
- (928) 854-5440
- NPI assigned
- May 18, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA-047065 | AZ | Primary |
Addresses
Primary practice location
1515 Lake Havasu Ave N Ste 100
Lake Havasu City, AZ 86404-1177
Mailing address
1515 Lake Havasu Ave N Ste 100
Lake Havasu City, AZ 86404-1177
Phone (928) 854-5439
Other practice location 1
2403 N Stockton Hill Rd Ste 4
Kingman, AZ 86401-4188
Phone (928) 854-5439
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | milemarkers@milemarkers.us | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA-047065 | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1679210900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 LAKE HAVASU AVE N STE 100",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864041177",
"telephone_number": "928-854-5439",
"fax_number": "928-854-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 LAKE HAVASU AVE N STE 100",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864041177",
"telephone_number": "928-854-5439",
"fax_number": "928-854-5440"
}
],
"practiceLocations": [
{
"address_1": "2403 N Stockton Hill Rd Ste 4",
"address_purpose": "LOCATION",
"city": "Kingman",
"state": "AZ",
"postal_code": "864014188",
"country_code": "US",
"telephone_number": "928-854-5439",
"fax_number": "928-854-5440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UTZ",
"first_name": "ARIKKA",
"middle_name": "NIKOLE",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "OTA-047065",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "milemarkers@milemarkers.us",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1515 Lake Havasu Ave N Ste 100",
"city": "Lake Havasu City",
"state": "AZ",
"country_code": "US",
"postal_code": "864041177",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.