Noelle Niantee Mack-Peterson

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

121105 Issued in TX

Practice address

25018 Oakhurst Dr
Spring, TX 77386-2722

Phone

(281) 364-9695

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Pathfinder Pediatrics Home Care, LLC

  • Home Health Agency
  • Katy, TX
  • NPI 1134371651
  NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1114701257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25518 MANY OAK DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802227",
            "telephone_number": "832-269-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25018 OAKHURST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862722",
            "telephone_number": "281-364-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK-PETERSON",
        "first_name": "NOELLE",
        "middle_name": "NIANTEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "121105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline S Lynn, CRNP
• M&a Legacy of Houston Inc
• Ruidan Ma, DDS, MS
• Mary Mable
• David Randolph Mabry, M.D.
• Jennifer P Mackey
• Tamitha Elaine Mackey, FNP
• Teresa Tran Macleod, NP
• Macula and Retina Specialists of Houston, PLLC
• Made Ya Smile Rayford Crossing, PLLC

• Pediatric Occupational Therapist in Spring, TX
• Providers in Spring, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.