NPIMap

Organization Active NPI

St Nicholas Pediatric Evauations and Therapy Services LLC

  • Pediatric Occupational Therapist
  • Slidell, LA
National Provider Identifier
1003252008
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT1528 Issued in MS
Legal business name
ST NICHOLAS PEDIATRIC EVAUATIONS AND THERAPY SERVICES LLC
Practice address
109 Constellation Dr
Slidell, LA 70458-9029
Phone
(985) 502-8853
Fax
(985) 288-4572
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lisa R Hesson, OTR/L
Title
Occupational Therapist/ Owner
Phone
(985) 502-8853

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT1528 MS
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OT1528 MS Primary

Addresses

Primary practice location

109 Constellation Dr
Slidell, LA 70458-9029

Mailing address

109 Constellation Dr
Slidell, LA 70458-9029
Phone (985) 502-8853

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1003252008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CONSTELLATION DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704589029",
            "telephone_number": "985-502-8853",
            "fax_number": "985-288-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CONSTELLATION DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704589029",
            "telephone_number": "985-502-8853",
            "fax_number": "985-288-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST NICHOLAS PEDIATRIC EVAUATIONS AND THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "HESSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "985-502-8853",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT1528",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MS",
            "license": "OT1528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.