Paula Flynn

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.0001379 Issued in CO

Practice address

1201 W Abriendo Ave
Pueblo, CO 81004-1003

Phone

(334) 590-2013

NPI assigned

Dec 30, 2021

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Dec 30, 2021.

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1730849829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 FORTINO BLVD LOT 166",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082070",
            "telephone_number": "334-590-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W ABRIENDO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041003",
            "telephone_number": "334-590-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "PAULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0001379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabelle Florez
• Marsha R Flowers, OTC
• Timothy Floyd, CRNA
• Julie Fluke
• Monica A Flynn, APRN-NP
• Randall Flynt, MDIV
• Kati Jo Foechterle, MS,AGACNP, FNP
• Chandler Follett, PHARMD
• Lee Michael Fonseca, NP-C
• Joan Lee Fontaine

• All providers in Pueblo, CO
• Occupational Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.