LYNDEE BLACK (NPI# 1891940862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891940862 |
| Entity Type | Individual |
| Full Name | LYNDEE BLACK |
| Credential | COTA/L |
| Practice Address |
430 N Monte Vista St Ada OK 74820-4610 |
| Mailing Address |
6551 Park of Commerce Blvd Boca Raton FL 33487-8218 |
| Practice Telephone | 5084211183 |
| Mailing Telephone | 8003472264 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 2005017458 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | OTA 03939 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | OTA 1747 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224Z00000X | Occupational Therapy Assistant | 1045 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
430 N MONTE VISTA ST |
| City | ADA |
| State | OK |
| Zip Code | 74820-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932187606 | Fionnuala M Gurley | Internal Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2006-01-04 |
| 1427693787 | Payton Elizabeth Mcadams | Physician Assistant | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-11-11 |
| 1033764378 | Shannon D Krueger | Registered Nurse | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-08-05 |
| 1609438159 | Mamie Alicia Thompson | Dietitian, Registered | 430 N Monte Vista St, Ada, OK 74820-4657 | 2019-07-05 |
| 1679135446 | Ada Valley Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-07-02 |
| 1609330968 | Justin Issac Rammage | Nurse Practitioner | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-01-30 |
| 1871085829 | Bradley Brown | Emergency Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2018-06-05 |
| 1093240897 | Keerthana Anand | Family Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2017-04-29 |
| 1528426442 | Kevin Beaver | Physician Assistant | 430 N Monte Vista St, Ada, OK 74820-4610 | 2016-02-05 |
| 1295108751 | Nicole Smith | Nurse Practitioner | 430 N Monte Vista St, Ada, OK 74820-4610 | 2015-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| 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 |
|---|---|---|---|---|
| 1568782431 | Sarah Rensink | Occupational Therapy Assistant | 502 Daisy Ln, Ada, MN 56510-1472 | 2010-06-02 |
| 1588956734 | Leah Welch | Occupational Therapy Assistant | 522 W 16th St, Ada, OK 74820-7610 | 2011-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172951 | Children S Therapy Zone LLC | Occupational Therapy Assistant | 220 Village Cir, Ponca City, OK 74601-4021 | 2020-10-19 |
| 1134734239 | Robbie Newman | Occupational Therapy Assistant | 10817 E 25th Pl, Tulsa, OK 74129-4807 | 2020-09-15 |
| 1841809811 | Carlos Wren | Occupational Therapy Assistant | 4647 N Hartford Ave, Tulsa, OK 74126-3360 | 2020-07-27 |
| 1356965628 | Amber Dawn Taylor | Occupational Therapy Assistant | 11150 Wolf Creek Dr, Crescent, OK 73028-9350 | 2020-06-02 |
| 1891315578 | Kelly Dee Rabe | Occupational Therapy Assistant | 6699 Windridge Cir, Lexington, OK 73051-9468 | 2020-04-22 |
| 1235760976 | Andy Goodnight | Occupational Therapy Assistant | 16993 Elm Ln, Morris, OK 74445-2837 | 2020-01-31 |
| 1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1487202677 | Jane Marie Rhoades | Occupational Therapy Assistant | 412 N Broadway Ave # 416, Shawnee, OK 74801-6922 | 2019-08-30 |
| 1831741032 | Shelby Nicole Mondloch | Occupational Therapy Assistant | 4300 S Juniper Pl, Broken Arrow, OK 74011-2832 | 2019-07-09 |
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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.