Active NPI
Dawn Niccum
- Occupational Therapist
- Richmond, KY
National Provider Identifier
1083232128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 261325
- Practice address
- 268 Marengo Dr
Richmond, KY 40475-8948 - Phone
- (509) 981-3383
- NPI assigned
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 261325 | Primary |
Addresses
Primary practice location
268 Marengo Dr
Richmond, KY 40475-8948
Mailing address
268 Marengo Dr
Richmond, KY 40475-8948
Phone (509) 981-3383
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1083232128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 MARENGO DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404758948",
"telephone_number": "509-981-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 MARENGO DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404758948",
"telephone_number": "509-981-3383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICCUM",
"first_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": "261325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.