Active NPI
Julie Ann Nodsle, OTR/L
- Occupational Therapist
- Detroit Lakes, MN
National Provider Identifier
1043346620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 101251
- Practice address
- 803 Roosevelt Ave
# 301
Detroit Lakes, MN 56501-3744 - Phone
- (218) 844-5555
- Fax
- (218) 844-6057
- NPI assigned
- Feb 26, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 101251 | MN | Primary |
Addresses
Primary practice location
803 Roosevelt Ave
# 301
Detroit Lakes, MN 56501-3744
Mailing address
803 Roosevelt Ave
# 301
Detroit Lakes, MN 56501-3744
Phone (218) 844-5555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088S4N0 | Other | MN | BLUE CROSS BLUE SHIELD |
| 29111 | Other | MN | NORIDIAN |
| 073878600 | Medicaid | MN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Services, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1043346620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 ROOSEVELT AVE",
"address_2": "# 301",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565013744",
"telephone_number": "218-844-5555",
"fax_number": "218-844-6057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 ROOSEVELT AVE",
"address_2": "# 301",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565013744",
"telephone_number": "218-844-5555",
"fax_number": "218-844-6057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NODSLE",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "101251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "088S4N0",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORIDIAN",
"identifier": "29111",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "073878600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.