Nicole Ashley Rambeau, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

6447 Issued in AZ

Practice address

2224 E Cedar Ave
Suite 1
Flagstaff, AZ 86004-1957

Phone

(937) 524-9034

NPI assigned

Aug 27, 2012

Last updated

Feb 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northland-Rural Therapy Associates, LLC

  dba Northland-Rural Therapy Associates

  • Specialist
  • Flagstaff, AZ
  • NPI 1376677914

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1053669812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 E CEDAR AVE",
            "address_2": "SUITE 1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041957",
            "telephone_number": "937-524-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 E CEDAR AVE",
            "address_2": "SUITE 1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041957",
            "telephone_number": "937-524-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBEAU",
        "first_name": "NICOLE",
        "middle_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "296732",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116021",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "6447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Rael
• Beth Rafferty
• Shelby Austin Ragghanti
• Ali I Raja, MD, MSC
• Meaghan Elizabeth Ralph, DPT
• Brianna Ramirez
• Paula D Rand, MD
• Amber Louise Randall, M.D.
• Bryce Aldworth Randall, CRNA
• Stephen Randazzo, NP

• Pediatric Occupational Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Pediatric Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.