Andrea Lynn Haskell, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

018952-1 Issued in NY

Practice address

774 Fairmount Ave
Jamestown
Jamestown, NY 14701-2609

Phone

(716) 665-1166

Fax

(866) 902-1160

NPI assigned

Aug 26, 2014

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 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Rehabilitation Specialists Physical Therapy, Occupational Therapy, Spe

  • Physical Therapist
  • Jamestown, NY
  • NPI 1679588487
  Medicare reassignment

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1679973713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 FAIRMOUNT AVE",
            "address_2": "JAMESTOWN",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012609",
            "telephone_number": "716-665-1166",
            "fax_number": "866-902-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 FAIRMOUNT AVE",
            "address_2": "JAMESTOWN",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012609",
            "telephone_number": "716-665-1166",
            "fax_number": "866-902-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKELL",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018952-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03941733",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Harriger
• Cheryl Harriman, RD
• Lynda Jean Harris, LCSW-R
• Craig P. Hartnagel, O.D. , P.C.
• Rae Ellen Hartnagel, REGISTERED NURSE
• Rosanna Hatfield, LCSW
• Joseph Hawk, LCSW-R
• Kaytlyn Hawley
• Marylisa Hayden, RN
• Christopher George Hayes, M.D.

• Occupational Therapist in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.