Active NPI
Nicole Lanius
- Pediatric Occupational Therapist
- Creve Coeur, MO
National Provider Identifier
1013063338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2002015340
- Practice address
- 10560 Old Olive Street Rd
Suite 100
Creve Coeur, MO 63141-5916 - Phone
- (314) 567-4707
- NPI assigned
- Jan 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2002015340 | MO | Primary |
Addresses
Primary practice location
10560 Old Olive Street Rd
Suite 100
Creve Coeur, MO 63141-5916
Mailing address
10560 Old Olive Street Rd
Suite 100
Creve Coeur, MO 63141-5916
Phone (314) 567-4707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013063338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10560 OLD OLIVE STREET RD",
"address_2": "SUITE 100",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631415916",
"telephone_number": "314-567-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10560 OLD OLIVE STREET RD",
"address_2": "SUITE 100",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631415916",
"telephone_number": "314-567-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANIUS",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MO",
"license": "2002015340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creve Coeur, MO
- William H Kuntz, M.S., LCSW, LIC. PSY
- Lakshmi Naveen Adult & Geriatric Psychiatry LLC
- Presley White Lampros, FNP-C
- Emily Wilson Land, PLPC
- Lauren Landfried, RD, LD
- Lisa Ann Larose, M.ED, BCBA, LBA
- Derek Sloan Larson, M.D.
- Laser Spine Institute LL Sole MBR
- Laser Spine Surgery Center of St. Louis, LLC
- Lasik-1 of St. Louis, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.