Individual provider Active NPI

Desiree Yvonne Vander Meulen, COTA

  • Occupational Therapy Assistant
  • Odessa, TX
National Provider Identifier
1982185815
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
214166 Issued in TX
Practice address
5001 Office Park
Odessa, TX 79762-4843
Phone
(432) 362-1800
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 214166 TX Primary

Addresses

Primary practice location

5001 Office Park
Odessa, TX 79762-4843

Mailing address

9913 Dublin Ave
Odessa, TX 79765-1484
Phone (575) 361-4048

Other names 1

  • Desiree Yvonne Cathey Professional name

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

LicenseStateTypeSpecialty
214166TXMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1982185815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9913 DUBLIN AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797651484",
            "telephone_number": "575-361-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 OFFICE PARK",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624843",
            "telephone_number": "432-362-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER MEULEN",
        "first_name": "DESIREE",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "CATHEY",
            "middle_name": "YVONNE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.