NICOLE CHISUM (NPI# 1811479579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811479579 |
| Entity Type | Individual |
| Full Name | NICOLE CHISUM |
| Credential | OTR |
| Practice Address |
3921 N Main St Baytown TX 77521-3307 |
| Mailing Address |
2622 Moss Hill Dr Houston TX 77080-3816 |
| Practice Telephone | 2814229541 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 118321 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3921 N MAIN ST |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77521-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245272780 | Phcc-rehabilitation and Health Care Center At Baytown, LLC | Skilled Nursing Facility | 3921 N Main St, Baytown, TX 77521-3307 | 2006-06-11 |
| 1285195024 | Fpacp Burnet LLC | Skilled Nursing Facility | 3921 N Main St, Baytown, TX 77521-3307 | 2019-03-26 |
| 1558846071 | Deldrya Pugh | Occupational Therapy Assistant | 3921 N Main St, Baytown, TX 77521-3307 | 2018-10-01 |
| 1467934646 | Wykeia Monique Sanders | Occupational Therapy Assistant | 3921 N Main St, Baytown, TX 77521-3307 | 2018-09-04 |
| 1811479553 | Vanessa Jeanette Moreno | Occupational Therapist | 3921 N Main St, Baytown, TX 77521-3307 | 2018-08-29 |
| 1265912026 | Tijuana Lynn Miller | Occupational Therapist | 3921 N Main St, Baytown, TX 77521-3307 | 2018-08-20 |
| 1790265049 | Bonnie Marie Muston | Physical Therapy Assistant | 3921 N Main St, Baytown, TX 77521-3307 | 2018-08-16 |
| 1750861035 | Dee Ann Joyner-martini | Occupational Therapy Assistant | 3921 N Main St, Baytown, TX 77521-3307 | 2018-08-16 |
| 1093295222 | Ana Karen Perez | Occupational Therapist | 3921 N Main St, Baytown, TX 77521-3307 | 2018-08-16 |
| 1396225595 | Joshua Thomas Saldivar | Physical Therapy Assistant | 3921 N Main St, Baytown, TX 77521-3307 | 2018-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832805 | Brenda Joyce Frederick | Technician | 919 Northwood Dr #7105, Baytown, TX 77521 | 2019-10-11 |
| 1073168746 | Next Level Mv LLC | Clinic/Center | 7710 Garth Road, Ste A, Baytown, TX 77521 | 2019-08-08 |
| 1306304019 | Rani Benson | Licensed Practical Nurse | Houston Methodist Baytown Hospital, 4401 Garth Road, Bay Town, TX 77521 | 2019-03-12 |
| 1073091146 | Providence Er of Baytown Pllc | Clinic/Center | 0 Garth Rd, Baytown, TX 77521 | 2018-08-01 |
| 1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
| 1922592278 | Charleston Espanol | Dentist | 6360 Garth Rd #105, Baytown, TX 77521 | 2018-06-20 |
| 1013437334 | Manish Shanker | Dentist | 7922 Cheyenne Court, Baytown, TX 77521 | 2017-06-27 |
| 1306366299 | H-e-b, Lp | Clinical Medical Laboratory | 6430 Garth Road, Baytown, TX 77521 | 2017-06-22 |
| 1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
| 1447605472 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1109 W Baker Rd, Ste C, Baytown, TX 77521 | 2016-04-27 |
| Find all providers in zip 77521 | ||||
| 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 |
|---|---|---|---|---|
| 1619530615 | Edward L Hunter | Occupational Therapist | 408 Rolling Wood Rd, Baytown, TX 77520-1117 | 2019-04-16 |
| 1740688019 | Tondra Costlow | Occupational Therapist | 7310 Bayou Vista Dr, Baytown, TX 77521-5026 | 2014-12-18 |
| 1487847729 | Lina C Ryan | Occupational Therapist | 901 West Baker Road, Baytown, TX 77521 | 2007-08-21 |
| 1023631033 | Kinza Ali | Occupational Therapist | 5313 Decker Dr, Baytown, TX 77520-1413 | 2020-05-26 |
| 1528681541 | Heather Jackson | Occupational Therapist | 5313 Decker Dr, Baytown, TX 77520-1413 | 2020-05-26 |
| 1114560505 | Tarrell Thibodeaux | Occupational Therapist | 5313 Decker Dr, Baytown, TX 77520-1413 | 2019-10-18 |
| 1033764873 | Tracy Tang | Occupational Therapist | 5313 Decker Dr, Baytown, TX 77520-1413 | 2019-08-08 |
| 1417422379 | Mariel Parra | Occupational Therapist | 5313 Decker Dr, Baytown, TX 77520-1413 | 2018-10-08 |
| 1447734694 | Rachel Wilson | Occupational Therapist | 5800 W Baker Rd, Baytown, TX 77520-1618 | 2018-09-23 |
| 1811479553 | Vanessa Jeanette Moreno | Occupational Therapist | 3921 N Main St, Baytown, TX 77521-3307 | 2018-08-29 |
| Find all providers in BAYTOWN | ||||
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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.