Dandelion Pediatrics

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

DANDELION PEDIATRICS

Practice address

303 Bradley Blvd Ste 212
Richland, WA 99352-4497

Phone

(509) 593-8292

Fax

(509) 385-0033

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Nelson, COTA/LNPI 1669077178

Title

Owner

Phone

(425) 367-1387

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Nelson, OTR/L

  • Occupational Therapist
  • Richland, WA
  • NPI 1669077178

  Occupational Therapy Assistant

  NPD Authorized official
• Jenni Merrill Mackley, COTA/L

  • Occupational Therapy Assistant
  • Richland, WA
  • NPI 1518511567
  NPD (past)

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752278400000",
    "number": "1043071426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BRADLEY BLVD STE 212",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524497",
            "telephone_number": "509-593-8292",
            "fax_number": "509-385-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BRADLEY BLVD STE 212",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524497",
            "telephone_number": "509-593-8292",
            "fax_number": "509-385-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANDELION PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-367-1387",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hipolito Mance Custodio III, M.D.
• Aaron James Cutler, O.D.
• Jean-Paul H D'Angelo, L.M.T
• Melody J. Dalde, MD
• Suzanne Damstedt
• Erin Darlington, PH.D.
• Terri Dee Davari, ARNP
• David L Dickerman, PLLC
• Robert Bruce Davidson
• Teri G Davies, MSW

• Pediatric Occupational Therapist in Richland, WA
• Providers in Richland, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; 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.