Individual provider Active NPI

Nicole C Zonana, OT

  • Occupational Therapist
  • Murfreesboro, TN
National Provider Identifier
1154668960
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT37777 Issued in TN
Practice address
209 Castlewood Dr Ste B
Murfreesboro, TN 37129-5163
Phone
(615) 898-7461
Fax
(615) 898-7490
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT37777 TN Primary

Addresses

Primary practice location

209 Castlewood Dr Ste B
Murfreesboro, TN 37129-5163

Mailing address

209 Castlewood Dr Ste B
Murfreesboro, TN 37129-5163
Phone (615) 898-7461

Other names 1

  • Nicole C Poveromo Former name

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

LicenseStateTypeSpecialty
OT37777TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Beginnings Pediatric Therapy Center Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1154668960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CASTLEWOOD DR STE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295163",
            "telephone_number": "615-898-7461",
            "fax_number": "615-898-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CASTLEWOOD DR STE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295163",
            "telephone_number": "615-898-7461",
            "fax_number": "615-898-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZONANA",
        "first_name": "NICOLE",
        "middle_name": "C",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT37777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "POVEROMO",
            "middle_name": "C",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.