HEATHER LEE NICKELSON (NPI# 1659858959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659858959 |
| Entity Type | Individual |
| Full Name | HEATHER LEE NICKELSON |
| Other Name | HEATHER MARIE LEE |
| Credential | MOTR/L |
| Practice Address |
1020 S Parkway St Cape Girardeau MO 63703-7704 |
| Mailing Address |
20744 Kiefer Ln Ste Genevieve MO 63670-8756 |
| Practice Telephone | 5732905799 |
| Practice Fax Number | 5733390196 |
| Mailing Telephone | 6363281066 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2017006776 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1020 S PARKWAY ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-7704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407337181 | Brian Michael Land | Physical Therapist | 1020 S Parkway St, Cape Girardeau, MO 63703-7704 | 2018-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| 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 |
|---|---|---|---|---|
| 1063760536 | Megan P Richards | Occupational Therapist | 28 Camellia Dr, Cape Girardeau, MO 63703-5720 | 2012-08-15 |
| 1689953531 | Britni J Carnako | Occupational Therapist | 2061 Pear Tree Ct, Apt 5, Cape Girardeau, MO 63701-2111 | 2011-08-10 |
| 1649559600 | Michelle Prichard | Occupational Therapist | 1223 Rockwood Dr, Cape Girardeau, MO 63701-4734 | 2011-08-09 |
| 1053624155 | Kiddly Winks Therapeutics, LLC | Occupational Therapist | 875 N Kingshighway St, Suite B, Cape Girardeau, MO 63701-4315 | 2010-07-17 |
| 1154520781 | Carisa Gayle Pursell | Occupational Therapist | 3140 Laurel Lane, Cape Girardeau, MO 63701-4108 | 2007-07-13 |
| 1043340839 | Elizabeth Kay Buchheit | Occupational Therapist | 2323 Horse Shoe Rdg, Cape Girardeau, MO 63701-1524 | 2007-03-07 |
| 1962509968 | Aliza An Soler | Occupational Therapist | 1236 W Cape Rock Dr Apt 47, Cape Girardeau, MO 63701-2642 | 2006-09-20 |
| 1639143357 | Mid America Rehab, P.C. | Occupational Therapist | 3047 William St, Cape Girardeau, MO 63703-6393 | 2006-02-17 |
| 1003318700 | Julie A Heuring | Occupational Therapist | 155 Siemers Dr Ste 8, Cape Girardeau, MO 63701 | 2018-03-08 |
| 1255856910 | Kelsey Marie Ulrich | Occupational Therapist | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2017-08-03 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
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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.