Active NPI
Dale Lynn Nuaman, OTA
- Occupational Therapy Assistant
- Broken Arrow, OK
National Provider Identifier
1821265794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OA224
- Practice address
- 1021 W San Antonio St
Broken Arrow, OK 74012-6621 - Phone
- (918) 284-7499
- NPI assigned
- May 10, 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 | OA224 | OK | Primary |
Addresses
Primary practice location
1021 W San Antonio St
Broken Arrow, OK 74012-6621
Mailing address
1021 W San Antonio St
Broken Arrow, OK 74012-6621
Phone (918) 284-7499
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 |
|---|---|---|---|
| OA224 | OK | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1821265794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W SAN ANTONIO ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740126621",
"telephone_number": "918-284-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 W SAN ANTONIO ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740126621",
"telephone_number": "918-284-7499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUAMAN",
"first_name": "DALE",
"middle_name": "LYNN",
"credential": "OTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-10",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OK",
"license": "OA224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.