Active NPI
Nanette Nadene Dula, COTA/L
- Occupational Therapy Assistant
- Matthews, NC
National Provider Identifier
1821254897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2889
- Practice address
- 8910 Elkins Park Dr
Matthews, NC 28105-7453 - Phone
- (704) 531-2884
- NPI assigned
- Jul 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 2889 | NC | Primary |
Addresses
Primary practice location
8910 Elkins Park Dr
Matthews, NC 28105-7453
Mailing address
8910 Elkins Park Dr
Matthews, NC 28105-7453
Phone (704) 531-2884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2889 | Other | NC | COTA |
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 |
|---|---|---|---|
| 2889 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1821254897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8910 ELKINS PARK DR",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281057453",
"telephone_number": "704-531-2884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8910 ELKINS PARK DR",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281057453",
"telephone_number": "704-531-2884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULA",
"first_name": "NANETTE",
"middle_name": "NADENE",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "2889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COTA",
"identifier": "2889",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.