DAWN NICCUM (NPI# 1083232128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083232128 |
| Entity Type | Individual |
| Full Name | DAWN NICCUM |
| Practice Address |
109 Wind Haven Dr Ste 100 Nicholasville KY 40356-8010 |
| Practice Telephone | 8592242273 |
| Practice Fax Number | 8592244675 |
| Mailing Telephone | 8592242273 |
| Mailing Fax Number | 8592244675 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 261325 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 N Water St Ste 2, Georgetown, KY 403241334 | 8592242273 | 8592244675 |
| 3450 Richmond Rd, Lexington, KY 405092742 | 8592242273 | 8592244675 |
| Street Address |
109 WIND HAVEN DR STE 100 |
| City | NICHOLASVILLE |
| State | KY |
| Zip Code | 40356-8010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902952914 | Pamela Marie Marshall | Occupational Therapist | 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356-8010 | 2007-01-25 |
| 1932700739 | Hayden Jinright | Physical Therapist | 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356-8010 | 2020-11-06 |
| 1568063113 | Zoe Rupert | Occupational Therapist | 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356-8010 | 2020-11-02 |
| 1851905558 | Emma Stairs | Physical Therapist | 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356-8010 | 2020-09-01 |
| 1902416688 | Micaela Cook | Occupational Therapist | 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356-8010 | 2020-08-06 |
| 1356959829 | Rachel Samples | Speech-Language Pathologist | 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356-8010 | 2020-07-21 |
| 1679192173 | Taylor Denney | Speech-Language Pathologist | 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356-8010 | 2020-04-14 |
| 1811536956 | Carissa Cunz | Occupational Therapist | 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356-8010 | 2020-01-06 |
| 1760028948 | Mallory Osborne | Occupational Therapist | 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356-8010 | 2019-11-21 |
| 1467019802 | Charlotte Murrell | Speech-Language Pathologist | 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356-8010 | 2019-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414507 | Samantha Johanne Tatum | Occupational Therapist | 610 E Brannon Road Suite 200, Nicholasville, KY 40356 | 2019-12-11 |
| 1083117279 | Michelle M Harrison | Counselor | 100 W. Maple Street, Nicholasville, KY 40356 | 2018-03-14 |
| 1427598226 | Margaret Osbourne | Counselor | 101a Wind Haven Drive, Suite 203, Nicholasville, KY 40356 | 2017-02-28 |
| 1265818421 | Amanda Marie Sciretta | Speech-Language Pathologist | 105 Windhaven Drive, Suite 1, Nicholasville, KY 40356 | 2015-08-10 |
| 1538568720 | Carmen T Wurtz | Physical Therapist | 602 Keene Centre Dr, Nicholasville, KY 40356 | 2014-08-14 |
| 1780093609 | Kristin Borrelli | Psychologist | 2513 Bethel Rd, Nicholasville, KY 40356 | 2014-08-05 |
| 1003169343 | Megan Brittany Young | Occupational Therapist | 1123 Holloway Lane, Nicholasville, KY 40356 | 2012-10-24 |
| 1801145412 | Brannon Crossing Family Dental, Pllc | Dentist | 231 East Brannon Rd, Nicholasville, KY 40356 | 2012-08-29 |
| 1821392135 | The Methodist Home of Ky | Case Management | 1115 Ashgrove Road, Nicholasville, KY 40356 | 2010-12-29 |
| 1083934053 | Benjamin J Heckman | Dentist | 117 Bryant Dr, Nicholasville, KY 40356 | 2010-06-01 |
| Find all providers in zip 40356 | ||||
| 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 |
|---|---|---|---|---|
| 1609414507 | Samantha Johanne Tatum | Occupational Therapist | 610 E Brannon Road Suite 200, Nicholasville, KY 40356 | 2019-12-11 |
| 1356779763 | Emily Hardwick | Occupational Therapist | 105 Windhaven Dr, Suite 1, Nicholasville, KY 40356-8005 | 2013-10-22 |
| 1003169343 | Megan Brittany Young | Occupational Therapist | 1123 Holloway Lane, Nicholasville, KY 40356 | 2012-10-24 |
| 1871867481 | Margaret Mary Noe Renaud | Occupational Therapist | 198 Woodwind Ct, Nicholasville, KY 40356-9774 | 2012-02-29 |
| 1831493899 | Danielle N. Routt | Occupational Therapist | 145 Oakmont Dr, Nicholasville, KY 40356-2702 | 2011-01-05 |
| 1104131531 | Morgan Skaggs | Occupational Therapist | 105 Wind Haven Dr Ste 1, Nicholasville, KY 40356-8005 | 2010-08-10 |
| 1720212921 | Christina Darby | Occupational Therapist | 120 Sage Dr, Nicholasville, KY 40356-8077 | 2009-05-04 |
| 1568063113 | Zoe Rupert | Occupational Therapist | 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356-8010 | 2020-11-02 |
| 1902416688 | Micaela Cook | Occupational Therapist | 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356-8010 | 2020-08-06 |
| 1811536956 | Carissa Cunz | Occupational Therapist | 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356-8010 | 2020-01-06 |
| Find all providers in NICHOLASVILLE | ||||
| City | NICHOLASVILLE |
| Zip Code | 40356 |
Please comment or provide details below to improve the information on DAWN NICCUM.
| 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.