Active NPI
Stacey Lynn Watson, OTD, OTR/L
- Occupational Therapist
- Wilber, NE
National Provider Identifier
1326315110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1048
- Practice address
- 611 N Main St
Wilber, NE 68465-2500 - Phone
- (402) 821-2331
- NPI assigned
- Nov 21, 2011
- Last updated
- Nov 21, 2011
- 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 | 1048 | NE | Primary |
Addresses
Primary practice location
611 N Main St
Wilber, NE 68465-2500
Mailing address
6040 S 58TH St
Ste. C
Lincoln, NE 68516-3695
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1326315110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 S 58TH ST",
"address_2": "STE. C",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685163695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 N MAIN ST",
"city": "WILBER",
"state": "NE",
"postal_code": "684652500",
"telephone_number": "402-821-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "STACEY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-21",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilber, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.