Active NPI
Shannon Elson Vaverka, OTRL
- Occupational Therapist
- Enid, OK
National Provider Identifier
1881770303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-231
- Practice address
- 2415 S Garland Rd
Enid, OK 73703-7369 - Phone
- (580) 233-6512
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | OT-231 | OK | Primary |
Addresses
Primary practice location
2415 S Garland Rd
Enid, OK 73703-7369
Mailing address
2415 S Garland Rd
Enid, OK 73703-7369
Phone (580) 233-6512
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1881770303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 S GARLAND RD",
"city": "ENID",
"state": "OK",
"postal_code": "737037369",
"telephone_number": "580-233-6512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 S GARLAND RD",
"city": "ENID",
"state": "OK",
"postal_code": "737037369",
"telephone_number": "580-233-6512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAVERKA",
"first_name": "SHANNON",
"middle_name": "ELSON",
"name_prefix": "Ms.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "OT-231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.