NICOLE PRUETT (NPI# 1033763750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033763750 |
| Entity Type | Individual |
| Full Name | NICOLE PRUETT |
| Practice Address |
15802 N Parkview Pl Surprise AZ 85374-7466 |
| Practice Telephone | 6238767000 |
| Mailing Telephone | 6238767000 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTH-007846 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508236712 | Nicole Pruett | Counselor | 42 S Delsea Drive, Glassboro, NJ 08028 | 2015-09-30 |
| Street Address |
15802 N PARKVIEW PL |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-7466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053496547 | Jennifer Hargrave | Psychologist | 15802 N Parkview Pl, Surprise, AZ 85374 | 2006-10-25 |
| 1790333631 | Joyce Cerda | Registered Nurse | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2019-09-03 |
| 1508412479 | Amy Rose Anderson | Licensed Practical Nurse | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2019-08-15 |
| 1770139602 | Leah Boyles | Registered Nurse | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2019-08-15 |
| 1730735945 | Tamara Richardson | Registered Nurse | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2019-08-13 |
| 1588218275 | Mary Noel Schuldt | Speech-Language Pathologist | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2019-07-30 |
| 1164076998 | Mackenzie Jensen | Speech-Language Pathologist | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2019-07-30 |
| 1740834589 | Donna Marie Rock | Speech-Language Pathologist | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2019-07-30 |
| 1154884708 | Rebecca Dezember | Specialist/Technologist | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2019-04-10 |
| 1952868689 | Victor Alexis Gomez | Speech-Language Pathologist | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2019-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| 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 |
|---|---|---|---|---|
| 1114536471 | Renee Whitmire | Occupational Therapist | 17825 W Sierra Montana Loop, Surprise, AZ 85388-7880 | 2020-07-23 |
| 1326515149 | Amber Dawn Nivens | Occupational Therapist | 14239 W Bell Rd Ste 110, Surprise, AZ 85374-2470 | 2018-10-30 |
| 1023545456 | Haley Cummings | Occupational Therapist | 13601 N Litchfield Rd Ste 124, Surprise, AZ 85379-4260 | 2017-05-16 |
| 1548610041 | Shane Johnson | Occupational Therapist | 18480 W Port Royale Ln, Surprise, AZ 85388-7678 | 2016-06-15 |
| 1306291307 | Premere Rehab LLC | Occupational Therapist | 15048 W Young St, Surprise, AZ 85374-7484 | 2016-04-27 |
| 1679934004 | Raymond Brent Robinson | Occupational Therapist | 13601 N Litchfield Rd, Surprise, AZ 85379-4260 | 2016-03-12 |
| 1134536337 | Samantha Erin Kogler | Occupational Therapist | 16968 W Bell Rd # D401, Surprise, AZ 85374-8943 | 2014-07-20 |
| 1750701769 | Sasha Noel Perry | Occupational Therapist | 14911 N 177th Ave, Surprise, AZ 85388-8741 | 2014-04-17 |
| 1861752230 | Sue Ann Guidry | Occupational Therapist | 16572 W Greenway Rd, Suite 101 & 103, Surprise, AZ 85388-2183 | 2012-05-20 |
| 1982962338 | Rudolpho Gomez | Occupational Therapist | 15821 N 165th Ln, Surprise, AZ 85388-1144 | 2012-04-23 |
| Find all providers in SURPRISE | ||||
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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.