Sharae Sharese Wafer, C.O.T.A

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202007187 Issued in MI

Practice address

41215 Fox Run
Novi, MI 48377-4803

Phone

(248) 668-8730

NPI assigned

Jul 19, 2016

Sex

Female

Sole proprietor

Yes

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1922451533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18682 GARFIELD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401718",
            "telephone_number": "313-932-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41215 FOX RUN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483774803",
            "telephone_number": "248-668-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAFER",
        "first_name": "SHARAE",
        "middle_name": "SHARESE",
        "credential": "C.O.T.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202007187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Wade-Martin
• Aarie Wade
• Akoya Wade
• Kimberly Wade
• David Alexander Wadowski, MD
• Kimberly May Wagener
• Adam Wagner
• Edward Wagner
• Erin Wagnitz
• Abigale Waidelich

• Occupational Therapy Assistant in Novi, MI
• Providers in Novi, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.