Active NPI
Shauna R Norrie, MOT OTR/L
- Occupational Therapist
- Bismarck, ND
National Provider Identifier
1235398900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1057
- Practice address
- 310 N 9TH St
Bismarck, ND 58501-4515 - Phone
- (701) 530-8800
- Fax
- (701) 751-4550
- NPI assigned
- Jun 6, 2008
- Last updated
- Nov 16, 2018
- 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 Therapist | 225X00000X | 1057 | ND | Primary |
Addresses
Primary practice location
310 N 9TH St
Bismarck, ND 58501-4515
Mailing address
3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-6492
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235398900 | Other | ND | BC/BS |
| 1473375 | Medicaid | ND | |
| 1235398900 | Other | PREFERRED ONE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020580 | NY | MD | Clinical Psychologist |
| 1057 | ND | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand & Plastic Surgery Centre PLC | Past | Accepting new patients | |
| Rehabilitation Medicine Associates,PLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Elite Plastic Surgery
- Surgery of the Hand (Surgery) Physician
- Grand Rapids, MI
- NPI 1245394576
-
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
- NPI 1548379571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1235398900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 SHERIDAN DR",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261738",
"telephone_number": "716-250-6492",
"fax_number": "716-250-4178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N 9TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014515",
"telephone_number": "701-530-8800",
"fax_number": "701-751-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIE",
"first_name": "SHAUNA",
"middle_name": "R",
"credential": "MOT OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "1235398900",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1473375",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1235398900",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
- Kathleen A Nordstrom, M.D.
- Margaret Bradley Nordstrom, DNP, FNP-BC
- Nicole Nordstrom, NP
- Nicole Jane Norheim, PSYD
- Brock Norrie, M.D.
- North Dakota Department of Health
- North Dakota Department of Health
- North Dakota DHS Aging Services
- North Dakota Docr Pharmacy
- North Dakota Pharmacy Service Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.