Tanya J Wareham, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA0000003793 Issued in TN

Practice address

914 Industrial Park Rd
Dandridge, TN 37725-4700

Phone

(865) 397-3333

NPI assigned

Nov 21, 2022

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": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1831808617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 MOUNT DR APT 1404",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378761826",
            "telephone_number": "480-262-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 INDUSTRIAL PARK RD",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254700",
            "telephone_number": "865-397-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAREHAM",
        "first_name": "TANYA",
        "middle_name": "J",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "OTA0000003793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Alan Trent, PT, DPT
• Edwin Turpin
• Tolson Vaughn, RN
• Amy H Vinogradov, OD
• Marsha Ward, RN
• Bethany Watts, SLP-CCC
• Westcare Tennessee, Inc.
• Anne Wharton, SLP
• Julie K White
• Dudley Martin Whitson, D.M.D.

• Occupational Therapy Assistant in Dandridge, TN
• Providers in Dandridge, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.