Yvonne Minimie Akanno, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

216981 Issued in TX

Practice address

21630 Merchants Way
Katy, TX 77449-2514

Phone

(832) 230-1518

Fax

(281) 741-7355

NPI assigned

Aug 18, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Yvonne Minimie Deresoma Former name

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1699441998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21630 MERCHANTS WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492514",
            "telephone_number": "832-230-1518",
            "fax_number": "281-741-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21630 MERCHANTS WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492514",
            "telephone_number": "832-230-1518",
            "fax_number": "281-741-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKANNO",
        "first_name": "YVONNE",
        "middle_name": "MINIMIE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "216981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "DERESOMA",
            "middle_name": "MINIMIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bolaji Afusat Ajibade
• Charlot Ajibade
• Tope Ajibade, MD
• Rukmini Ajukumar, FNP
• Unimashi U Akande
• Zarin Akhter
• Oluyemi Akinbobola
• Olutayo Akinboboye, PT, DPT
• Olajumoke Akinde, LVN
• Olatubosun I Akinde, RN

• Occupational Therapy Assistant in Katy, TX
• Providers in Katy, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.