Active NPI
Amanda L Nehilla, O.T
- Pediatric Occupational Therapist
- Garner, NC
National Provider Identifier
1063667186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 7650
- Practice address
- 12450 Cleveland Rd Ste 206
Garner, NC 27529-8355 - Phone
- (919) 771-0775
- Fax
- (919) 303-3939
- NPI assigned
- Nov 18, 2008
- 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 | 7650 | NC | Primary |
Addresses
Primary practice location
12450 Cleveland Rd Ste 206
Garner, NC 27529-8355
Mailing address
9009 Cascade Creek CT
Wake Forest, NC 27587-5369
Phone (919) 529-4288
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7650 | NC | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1063667186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9009 CASCADE CREEK CT",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275875369",
"telephone_number": "919-529-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12450 CLEVELAND RD STE 206",
"city": "GARNER",
"state": "NC",
"postal_code": "275298355",
"telephone_number": "919-771-0775",
"fax_number": "919-303-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEHILLA",
"first_name": "AMANDA",
"middle_name": "L",
"credential": "O.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-18",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "7650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.