CAROL JEAN NICHOLSON (NPI# 1235251745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235251745 |
Entity Type | Individual |
Full Name | CAROL JEAN NICHOLSON |
Credential | OTRL, CHT |
Practice Address |
9050 37th Ave Sw Seattle WA 98126-3833 |
Mailing Address |
4857 37th Ave Sw Seattle WA 98126-2723 |
Practice Telephone | 2063833740 |
Mailing Telephone | 2063833740 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2019-07-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 225XE1200X |
Occupational Therapist Specialization: Ergonomics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT00000928 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | L & I PROVIDER NUMBER | 137579 | 01 |
WA | OT LICENSE WA STATE | OT00000928 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
4857 37th Ave Sw, Seattle, WA 981262723 | 2063833740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588804801 | Carol Elizabeth Nicholson | Pediatrics | 6461 Zuma View Pl, #149, Malibu, CA 90265-4495 | 2009-02-26 |
1871745745 | Carol M Nicholson | Contractor | 156 Frontenac Ave, Buffalo, NY 14216-1929 | 2008-10-22 |
1548461833 | Carol A Nicholson | Social Worker | 28 Branch Ln, Stamford, CT 06903-3537 | 2007-05-31 |
1063538908 | Carol W. Nicholson | Physical Therapist | Riverstreet Manor, 440 North Main Street, Wilkes Barre, PA 18702 | 2007-03-22 |
1497221899 | Carol E Nicholson | Counselor | 105 Hospital Rd, Sonora, CA 95370-5227 | 2018-10-23 |
Street Address |
9050 37TH AVE SW |
City | SEATTLE |
State | WA |
Zip Code | 98126-3833 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750926341 | Andre L Cherry | Counselor | Navos - West Seattle, 2600 Sw Holden St, Seattle, WA 98126 | 2019-11-07 |
1477071314 | Hailey Justine Long | Registered Nurse | 5444 29th Ave Sw, Seattle, WA 98126 | 2017-08-30 |
1952824153 | Margaret Jane Oliver | Behavior Technician | 7942 29th Ave Sw, Seattle, WA 98126 | 2017-07-19 |
1538610282 | Kathleen Unterreiner Licsw | Community/Behavioral Health | 3261 Sw Avalon Way, Apt 411, Seattle, WA 98126 | 2016-10-18 |
1689123507 | Omotade Adeola Mallum | Occupational Therapy Assistant | 9408 35th Ave Sw, Unit B, Seattle, WA 98126 | 2016-10-04 |
1598211732 | Christopher Shawn Osler | Physical Therapy Assistant | 7346 32nd Ave Sw, Seattle, WA 98126 | 2016-08-28 |
1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
1689083032 | Kristine Ellyn Highlander | Nurse Practitioner | 2600 Sw Holden St., Navos Inpatient Services, Seattle, WA 98126 | 2014-08-11 |
1346657814 | Buu Bui | Family Medicine | 4550 Fauntleroy Way Sw # Ms 206-01, Seattle, WA 98126 | 2014-07-16 |
1598015950 | Kimberly Pendergrass | Social Worker | 2600 S. W. Holden Street, Seattle, WA 98126 | 2012-09-13 |
Find all providers in zip 98126 |
Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780607424 | Kerri Arenholz | Occupational Therapist | 2004 E Union St, Seattle, WA 98122-2836 | 2006-07-25 |
1376525774 | Erik L. Nielsen | Occupational Therapist | 2409 N 45th St, Seattle, WA 98103-6907 | 2005-11-19 |
1396203436 | Reach Rehab, LLC | Occupational Therapist | 1551 Nw 54th St Ste 102, Seattle, WA 98107-3845 | 2019-03-07 |
1750892279 | Ray Hilario Salvador | Occupational Therapist | 10564 5th Ave Ne Ste 402, Seattle, WA 98125-7200 | 2017-10-24 |
1790133122 | Washington Therapy Group, Inc. | Occupational Therapist | 10564 5th Ave Ne, Suite 402, Seattle, WA 98125-7200 | 2016-05-26 |
1982015293 | David W Greaves | Occupational Therapist | 908 Jefferson St, Physical and Hand Therapy Clinic, Seattle, WA 98104-2433 | 2014-05-08 |
1386993491 | Catherine Suzanne Lowry | Occupational Therapist | 904 7th Ave, Seattle, WA 98104 | 2012-09-05 |
1649586215 | Vanessa Nicole Roberts | Occupational Therapist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2010-08-20 |
1295942043 | Joanne Marie Hughes | Occupational Therapist | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2007-05-17 |
1740409317 | Heidi R. Blackie | Occupational Therapist | 2409 N 45th St, Seattle, WA 98103 | 2007-04-24 |
Find all providers in SEATTLE |
Please comment or provide details below to improve the information on CAROL JEAN NICHOLSON.
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.