Active NPI
Nicole Boeschen
- Occupational Therapy Assistant
- Neosho, MO
National Provider Identifier
1144454240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2006012361
- Practice address
- 1105 Village Rd
Neosho, MO 64850-9076 - Phone
- (800) 381-0822
- Fax
- (352) 565-5201
- NPI assigned
- May 5, 2009
- Last updated
- Apr 17, 2026
- 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 Therapy Assistant | 224Z00000X | 2006012361 | MO | Primary |
Addresses
Primary practice location
1105 Village Rd
Neosho, MO 64850-9076
Mailing address
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (800) 381-0822
Other practice location 1
7733 Forsyth Blvd
Saint Louis, MO 63105-1817
Phone (800) 677-1202
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 |
|---|---|---|---|
| 2006012361 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1144454240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8477 S SUNCOAST BLVD",
"city": "HOMOSASSA",
"state": "FL",
"postal_code": "344465028",
"telephone_number": "800-381-0822",
"fax_number": "352-565-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 VILLAGE RD",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648509076",
"telephone_number": "800-381-0822",
"fax_number": "352-565-5201"
}
],
"practiceLocations": [
{
"address_1": "7733 Forsyth Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631051817",
"country_code": "US",
"telephone_number": "800-677-1202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOESCHEN",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-05",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2006012361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neosho, MO
- Kimberly A. Benton, DC
- Matthew P. Benton, D.C.
- Big Tree Medical Neosho (Mitchell's Health and Wellness Clinic)
- Bio-Medical Applications of Missouri, Inc. (Fresenius Medical Care Neosho)
- Bioethics Solutions, Inc. (BioEthics Advantage powered by Vital Care)
- Vernon F Bosley, CRNA
- Cassidy Victoria Braga, NP
- Kayla Braun, COTA/L
- Rebecca Megan Broadbent, DO
- Laken Nicole Brock, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.