Lorraine Blas De Vera, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61140130 Issued in WA

Practice address

1240 Ruddell Rd SE
Lacey, WA 98503-5747

Phone

(350) 915-6067

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By 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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1831776251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 RUDDELL RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035747",
            "telephone_number": "350-915-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 RUDDELL RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035747",
            "telephone_number": "350-915-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "LORRAINE",
        "middle_name": "BLAS",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61140130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Lynn Davis, L.AC
• Victoria Lynn Davis, LCSW
• Rex Dator De Asis, DMD
• Michaela Jane De Groot, PT, DPT
• Gerson A De Peralta
• Cynthia D Dean, LMP
• Patricia Dean
• Sarah M Dean, PT
• Samantha Deaton
• Debcare Afh LLC

• Occupational Therapist in Lacey, WA
• Providers in Lacey, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.