MYRANDA LANCASTER (NPI# 1639727134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639727134 |
| Entity Type | Individual |
| Full Name | MYRANDA LANCASTER |
| Practice Address |
630 S Main St Water Valley MS 38965-3468 |
| Mailing Address |
711 Avignon Dr Ridgeland MS 39157-5120 |
| Practice Telephone | 6624735947 |
| Practice Fax Number | 6016071416 |
| Mailing Telephone | 6016056777 |
| Mailing Fax Number | 6016071362 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT3702 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
630 S MAIN ST |
| City | WATER VALLEY |
| State | MS |
| Zip Code | 38965-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578197703 | Grady Madison Kuykendall | Physical Therapist | 630 S Main St, Water Valley, MS 38965-3468 | 2020-02-26 |
| 1699320200 | Matt Defrancisco | Physical Therapist | 630 S Main St, Water Valley, MS 38965-3468 | 2019-08-09 |
| 1992269500 | Miranda Wade | Occupational Therapist | 630 S Main St, Water Valley, MS 38965-3468 | 2019-01-28 |
| 1649762030 | John F Kimball | Speech-Language Pathologist | 630 S Main St, Water Valley, MS 38965-3468 | 2018-06-01 |
| 1285122770 | Brenda Mccullough | Physical Therapy Assistant | 630 S Main St, Water Valley, MS 38965-3468 | 2018-04-30 |
| 1215431358 | Christiana Elizabeth Spauldling | Occupational Therapy Assistant | 630 S Main St, Water Valley, MS 38965-3468 | 2018-03-22 |
| 1801140082 | Yalobusha General Hospital | Ambulance | 630 S Main St, Water Valley, MS 38965-3468 | 2012-11-09 |
| 1518290386 | Lawanda Herron | Nurse Practitioner | 630 S Main St, Water Valley, MS 38965-3468 | 2009-09-11 |
| 1427265685 | Yalobusha General Hospital | General Acute Care Hospital | 630 S Main St, Water Valley, MS 38965-3468 | 2007-05-17 |
| 1972620201 | Yalobusha General Hospital | General Acute Care Hospital | 630 S Main St, Water Valley, MS 38965-3468 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083087985 | Family Health Care Clinic, Inc. | Clinic/Center | 102 Blackmur Dr, Water Valley, MS 38965 | 2015-11-02 |
| 1770713893 | Ben F Toole | Counselor | 1285 County Road 151, Water Valley, MS 38965 | 2009-07-23 |
| 1053451880 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 630 South Main St, Water Valley, MS 38965 | 2007-02-08 |
| 1003977281 | Barney Lee Pullen Jr. | Dentist | 117 Wood St, Water Valley, MS 38965 | 2006-12-12 |
| 1912070277 | Water Valley Rural Health Paul Odom Md | Clinic/Center | 645 South Main Street, Water Valley, MS 38965 | 2006-11-16 |
| 1255414173 | Family Practice Clinic of Water Valley | Family Medicine | 606 So Main St, Water Valley, MS 38965 | 2006-10-23 |
| 1073609467 | Paul Leroy Odom | Family Medicine | 604 South Main Street, Water Valley, MS 38965 | 2006-10-05 |
| 1730129164 | Quality Medical Service, Inc | Durable Medical Equipment & Medical Supplies | Quality Medical Services, Inc, 48 S Main Street, Water Valley, MS 38965 | 2006-06-07 |
| 1124687207 | Dontavious Toles | Physical Therapy Assistant | 50 Main St, Water Valley, MS 38965 | 2019-06-11 |
| 1669826111 | Antoinette Taylor | Family Medicine | 604 S Main St, Water Valley, MS 38965 | 2016-04-21 |
| Find all providers in zip 38965 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992269500 | Miranda Wade | Occupational Therapist | 630 S Main St, Water Valley, MS 38965-3468 | 2019-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867088 | Julia Hovatter | Occupational Therapist | 4700 Hardy St Ste J1, Hattiesburg, MS 39402-1300 | 2020-10-07 |
| 1770197089 | Ashton Allard | Occupational Therapist | 4709 Highway 22, Flora, MS 39071-9512 | 2020-09-03 |
| 1194338079 | Lauren Elizabeth Laenen | Occupational Therapist | 147 S Brooks St, Pontotoc, MS 38863-2950 | 2020-08-28 |
| 1770196123 | Brooke Ann Thomas | Occupational Therapist | 627 Middleton Rd Ste 100, Winona, MS 38967-2000 | 2020-08-26 |
| 1619517869 | Cristen N Sudduth | Occupational Therapist | 374 Savanna St, Jackson, MS 39212-5257 | 2020-01-15 |
| 1659911246 | Madison Casey Hayes | Occupational Therapist | 5271 Getwell Rd # Suittea, Southaven, MS 38672-9608 | 2020-01-10 |
| 1497391106 | Takisha Kayon Stallings-richards | Occupational Therapist | 4744 We Ross Pkwy Apt 50-201, Southaven, MS 38671-7003 | 2019-11-18 |
| 1407490352 | Kelli Snider | Occupational Therapist | 402 Natchez Ave, Brookhaven, MS 39601-4058 | 2019-11-04 |
| 1871136663 | Holly Stidham Loper | Occupational Therapist | 600 Rollingwood Dr, Vicksburg, MS 39183-6930 | 2019-10-24 |
| 1972153039 | Marlee Taylor | Occupational Therapist | 503 Constitution Drive, Iuka, MS 38852-8201 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
| City | WATER VALLEY |
| Zip Code | 38965 |
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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.