NPIMap

Individual provider Active NPI

Faye Emelia Nelson, OTR/L

  • Occupational Therapist
  • Saint Paul, MN
National Provider Identifier
1285889337
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
101742 Issued in MN
Practice address
1246 University Ave W Ste 100
Saint Paul, MN 55104-4183
Phone
(651) 603-8774
Fax
(651) 603-9009
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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 101742 MN Primary

Addresses

Primary practice location

1246 University Ave W Ste 100
Saint Paul, MN 55104-4183

Mailing address

1246 University Ave W Ste 100
Saint Paul, MN 55104-4183
Phone (651) 603-8774

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
101742MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Key Corp Past Accepting new patients
Key Corporation Occupational Therapist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1285889337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 UNIVERSITY AVE W STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044183",
            "telephone_number": "651-603-8774",
            "fax_number": "651-603-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 UNIVERSITY AVE W STE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044183",
            "telephone_number": "651-603-8774",
            "fax_number": "651-603-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "FAYE",
        "middle_name": "EMELIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "101742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.