MISS KRISTINA ANNE NICKERSON (NPI# 1275021164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275021164 |
| Entity Type | Individual |
| Full Name | MISS KRISTINA ANNE NICKERSON |
| Credential | COTA |
| Practice Address |
930 W Centerville Rd Ste C Garland TX 75041-5854 |
| Mailing Address |
4218 Us Highway 80 E Apt 2067 Mesquite TX 75149-1173 |
| Practice Telephone | 9723037021 |
| Mailing Telephone | 2542051171 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 215045 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
930 W CENTERVILLE RD STE C |
| City | GARLAND |
| State | TX |
| Zip Code | 75041-5854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144734948 | Camila Gonzalez | Speech-Language Pathologist | 930 W Centerville Rd Ste C, Garland, TX 75041-5854 | 2017-12-01 |
| 1750907929 | Susan Hudson | Physical Therapy Assistant | 930 W Centerville Rd Ste C, Garland, TX 75041-5854 | 2020-06-23 |
| 1144853573 | Erin Beckner | Speech-Language Pathologist | 930 W Centerville Rd Ste C, Garland, TX 75041-5854 | 2020-02-13 |
| 1508413790 | Jessica Mae Beausoleil | Physical Therapist | 930 W Centerville Rd Ste C, Garland, TX 75041-5854 | 2019-08-22 |
| 1508428384 | Mystere Moyes | Speech-Language Pathologist | 930 W Centerville Rd Ste C, Garland, TX 75041-5854 | 2019-07-02 |
| 1851953863 | Megan Slatter | Occupational Therapist | 930 W Centerville Rd Ste C, Garland, TX 75041-5854 | 2019-07-01 |
| 1184182321 | Jason Witt | Physical Therapist | 930 W Centerville Rd Ste C, Garland, TX 75041-5854 | 2019-03-06 |
| 1801354394 | Arantxa Hernandez | Occupational Therapist | 930 W Centerville Rd Ste C, Garland, TX 75041-5854 | 2019-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984922 | Vitora Ventures Inc | Pharmacy | 138 W. Centerville Rd # 100, Garland, TX 75041 | 2020-05-20 |
| 1699095620 | Bevan Wayne Heaton | Dentist | 1501 W. Miller Road, Suite 180, Garland, TX 75041 | 2010-06-01 |
| 1649592064 | Yuenan Shen | Pathology | 1918 E Miller Rd, Suite 101, Garland, TX 75041 | 2010-02-26 |
| 1417105271 | Laura Beth Ackerman | Speech-Language Pathologist | 2625 Anita Dr., Garland, TX 75041 | 2008-09-05 |
| 1760522031 | South First Dental,pc | Dentist | 3109 South First Street, Garland, TX 75041 | 2007-02-07 |
| 1396840328 | Jane Elizabeth Williamson | Counselor | 629 W Centerville, Suite 205, Garland, TX 75041 | 2006-09-14 |
| 1902900038 | Michael Allen Musso | Dentist | 513 W Centerville Road, Garland, TX 75041 | 2006-09-11 |
| 1538263652 | Musso Family Dentistry | Dentist | 513 West Centerville Rd, Garland, TX 75041 | 2006-09-11 |
| 1285738534 | Robert Rushing Jr. | Audiologist | 2625 Anita, Garland, TX 75041 | 2006-09-08 |
| 1932203288 | Kristi Amyx | Occupational Therapist | 2625 Anita Dr, Garland, TX 75041 | 2006-09-08 |
| Find all providers in zip 75041 | ||||
| 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 |
|---|---|---|---|---|
| 1932613833 | Olga Patricia Nino Lagos | Occupational Therapy Assistant | 930 W Centerville Rd Ste 370, Garland, TX 75041-5823 | 2017-11-30 |
| 1922318435 | Kwameshia Carter | Occupational Therapy Assistant | 2118 Norway Dr, Garland, TX 75040-4330 | 2010-10-18 |
| 1154803658 | Paula Jan Peters | Occupational Therapy Assistant | 505 W Centerville Rd, Garland, TX 75041-5445 | 2018-08-30 |
| 1225519267 | Charlie Nguyen | Occupational Therapy Assistant | 3737 N Garland Ave, Garland, TX 75040-8502 | 2018-08-28 |
| 1912487885 | Coty Shuptrine | Occupational Therapy Assistant | 3737 N Garland Ave, Garland, TX 75040-8502 | 2018-08-20 |
| 1003396987 | Michelle Lee Gascot | Occupational Therapy Assistant | 106 Belt Line Rd, Garland, TX 75040-4104 | 2018-08-20 |
| 1356839856 | Dorothy K French | Occupational Therapy Assistant | 930 W Centerville Rd, Garland, TX 75041-5823 | 2018-04-30 |
| 1700257847 | Angela Nave | Occupational Therapy Assistant | 930 W Centerville Rd, Suite C, Garland, TX 75041-5823 | 2015-10-15 |
| 1306249552 | Katelyn Blair Sapundjieff | Occupational Therapy Assistant | 930 W Centerville Rd, 930 C, Garland, TX 75041-5823 | 2014-10-02 |
| 1033450283 | Heather Gardner | Occupational Therapy Assistant | 930 W Centerville Rd, Suite C, Garland, TX 75041-5823 | 2013-03-13 |
| Find all providers in GARLAND | ||||
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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.