Active NPI
Cambia Nicholson, OT
- Occupational Therapist
- Athens, AL
National Provider Identifier
1336357227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0258
- Practice address
- 661 US Highway 72 W
Athens, AL 35611-4211 - Phone
- (256) 233-9533
- Fax
- (256) 233-9535
- NPI assigned
- May 21, 2007
- Last updated
- Jul 8, 2007
- 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 | 0258 | AL | Primary |
Addresses
Primary practice location
661 US Highway 72 W
Athens, AL 35611-4211
Mailing address
420 W Pinhook Rd
Suite a
Lafayette, LA 70503-2131
Phone (337) 233-1307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-40354 | Other | BLUE CROSS PROVIDER NUMBE |
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 |
|---|---|---|---|
| 0258 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336357227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W PINHOOK RD",
"address_2": "SUITE A",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032131",
"telephone_number": "337-233-1307",
"fax_number": "337-233-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 US HIGHWAY 72 W",
"city": "ATHENS",
"state": "AL",
"postal_code": "356114211",
"telephone_number": "256-233-9533",
"fax_number": "256-233-9535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "CAMBIA",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "0258",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "515-40354",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, AL
- Carson Gafford Neel
- Amy Claire Nelson, PHARM.D.
- Tiana Lynne Samlowski Nelson, PHARMD
- New Leaf Medical Clinic, LLC
- Katie M Newberry, MSW
- Nko Dental Al PLLC
- Noel General Surgery PC
- Paul E Noel, MD
- Noland Specialty Hospital North Alabama, LLC
- North Alabama Center for Cosmetic and General Dentistry, P.C. (Beasley Cosmetic & General Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.