Susan Nielson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

118756 Issued in TX

Practice address

13609 California Street, Suite 200
C&a Plaza,
Omaha, NE 68154-5260

Phone

(402) 891-1118

NPI assigned

May 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1003262544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 STATE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078337",
            "telephone_number": "801-636-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13609 CALIFORNIA STREET, SUITE 200",
            "address_2": "C&A PLAZA,",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545260",
            "telephone_number": "402-891-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2113 State St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770078337",
            "country_code": "US",
            "telephone_number": "801-636-6452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WA",
            "license": "OT60642487",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "susan@pnw-health.org",
            "affiliation": "N",
            "address_1": "2113 State St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770078337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sherry Nielsen
• Stephanie Sue Nielsen, RDN, LMNT
• Stephen M Nielsen, M.D.
• Tabitha Anne Nielsen, PLMHP, PCMSW
• Tayler Lanae Nielsen, MD
• Emily Nieman
• Taylor Nieman
• Adriana Niemann, PLMHP
• Douglas Francis Niemann, M.D.
• Jessica M Niemann, PTA

• Occupational Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.