MRS. BRANDI HAVARD (NPI# 1568789907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568789907 |
| Entity Type | Individual |
| Full Name | MRS. BRANDI HAVARD |
| Credential | COTA |
| Practice Address |
100 E Ferguson St Tyler TX 75702-5759 |
| Mailing Address |
4116 Concord Pl Texarkana TX 75503-0995 |
| Practice Telephone | 9035092040 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 211153 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | OT-A584 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6101 N State Line Ave, Texarkana, TX 755035309 | 9037917770 |
| Street Address |
100 E FERGUSON ST |
| City | TYLER |
| State | TX |
| Zip Code | 75702-5759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164653 | Melanie Neal | Speech-Language Pathologist | 100 E Ferguson St, Tyler, TX 75702-5759 | 2020-11-04 |
| 1538760640 | Ancelmo Mojarro | Physical Medicine & Rehabilitation | 100 E Ferguson St, Tyler, TX 75702-5759 | 2020-11-04 |
| 1760098115 | Caitlin Magnuson | Speech-Language Pathologist | 100 E Ferguson St, Tyler, TX 75702-5759 | 2020-09-21 |
| 1346855616 | Kelsey Guin | Speech-Language Pathologist | 100 E Ferguson St, Tyler, TX 75702-5759 | 2020-09-13 |
| 1144849191 | Jacey Elizabeth Monroe | Registered Nurse | 100 E Ferguson St, #608, Tyler, TX 75702-5756 | 2020-04-09 |
| 1467013748 | Jordan Page Magruder | Speech-Language Pathologist | 100 E Ferguson St, Tyler, TX 75702-5759 | 2019-06-26 |
| 1659931285 | Hellen Njoki Njagi | Licensed Vocational Nurse | 100 E Ferguson St, Tyler, TX 75702-5759 | 2019-06-17 |
| 1477119915 | Cheryl Little | Speech-Language Pathologist | 100 E Ferguson St, Tyler, TX 75702-5759 | 2019-05-09 |
| 1679032494 | Sarah Michele Womack | Specialist/Technologist | 100 E Ferguson St, Tyler, TX 75702-5759 | 2019-03-19 |
| 1619435880 | Sarah Johnson Siler | Speech-Language Pathologist | 100 E Ferguson St, Tyler, TX 75702-5759 | 2019-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791587 | Jessica Babyak | Occupational Therapy Assistant | 8912 Mansion Creek Cir, Tyler, TX 75707-2293 | 2020-02-07 |
| 1356806228 | Chipo Shekinah Miles | Occupational Therapy Assistant | 4509 Inverness Dr, Tyler, TX 75703-2225 | 2019-02-05 |
| 1972084184 | Sherrie Amanda Prosper | Occupational Therapy Assistant | 2051 W Cumberland Rd Apt 108, Tyler, TX 75703-5354 | 2018-08-25 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1760847784 | Carrie Veitch | Occupational Therapy Assistant | 921 Shiloh Rd Ste C120, Tyler, TX 75703-1407 | 2015-12-17 |
| 1043526601 | Ashlynn Kennard | Occupational Therapy Assistant | 4801 Troup Hwy Ste 800, Tyler, TX 75703-2357 | 2010-08-20 |
| 1326654732 | Maria Zuniga | Occupational Therapy Assistant | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-09-21 |
| 1912528498 | Brooke Nicole Mcdaniel | Occupational Therapy Assistant | 3414 Golden Rd, Tyler, TX 75701-8336 | 2020-05-06 |
| 1356977847 | Tammy Mallard | Occupational Therapy Assistant | 701 Olympic Plaza Cir, Tyler, TX 75701-1950 | 2020-03-17 |
| 1053946475 | Kylie Melillo | Occupational Therapy Assistant | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-03-05 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.