Dezirae F Tweedie

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

C2562 Issued in WV

Practice address

9435 Pocahontas TRL
White Sulphur Springs, WV 24986-5012

Phone

(681) 238-3494

NPI assigned

Jul 23, 2025

Last updated

Jul 23, 2025By 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

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1699657411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 TANNER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258019610",
            "telephone_number": "681-238-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9435 POCAHONTAS TRL",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249865012",
            "telephone_number": "681-238-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEEDIE",
        "first_name": "DEZIRAE",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C2562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breann M Songer
• Danny Spadaro
• Deborah Sparks
• Lakeishia Lashawn Tackett
• George R Thompson, MD
• Nikki Van
• Walgreen Co (Walgreens #19961)
• Maureen Elizabeth Webb, DPT
• White Sulphur Springs Emergency Medical Services, Inc
• White Sulphur Springs EMS (White Sulphur Springs Rescue Squad)

• Occupational Therapy Assistant in White Sulphur Springs, WV
• Providers in White Sulphur Springs, WV by specialty
• Occupational Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.