Active NPI
Emily Marszalkowski Moorefield, COTA/L
- Occupational Therapy Assistant
- Omaha, NE
National Provider Identifier
1093342339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1070
- Practice address
- 6032 Ville de Sante Dr
Omaha, NE 68104-1137 - Phone
- (402) 571-6770
- NPI assigned
- Mar 25, 2020
- 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 Therapy Assistant | 224Z00000X | 1070 | NE | Primary |
Addresses
Primary practice location
6032 Ville de Sante Dr
Omaha, NE 68104-1137
Mailing address
6032 Ville de Sante Drive
Omaha, NE 68104
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131-001993 | Other | VA | STATE BOARD |
| 097937 | Other | IA | STATE BOARD |
| 1070 | Other | NE | STATE BOARD |
Other names 1
- Ms. Emily Kate Marszalkowski
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 |
|---|---|---|---|
| 1070 | NE | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1093342339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6032 VILLE DE SANTE DRIVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "68104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6032 VILLE DE SANTE DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681041137",
"telephone_number": "402-571-6770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOREFIELD",
"first_name": "EMILY",
"middle_name": "MARSZALKOWSKI",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NE",
"license": "1070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD",
"identifier": "0131-001993",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD",
"identifier": "097937",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD",
"identifier": "1070",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "MARSZALKOWSKI",
"middle_name": "KATE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.