Stacey Nelson, MS, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5266 Issued in CA

Practice address

1573 Wilson Rd
Ramona, CA 92065

Phone

(619) 322-0744

NPI assigned

Oct 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1336866623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 MAIN ST # 272",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652128",
            "telephone_number": "619-322-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 WILSON RD",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "92065",
            "telephone_number": "619-322-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STACEY",
        "credential": "MS, OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "5266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Bruce Myers, OD
• Zinah Nakarah, RPH
• Aws Nassir
• Anna Louise Nelson, LMFT
• Ashley Eileen Nelson
• Bryan V Nguyen, DPT
• Chloe Hanh Nguyen, PHARMD
• Ann Marie Nichols, L.C.S.W
• Merri E Noel, CADC-II
• North County Health Project Inc

• Occupational Therapist in Ramona, CA
• Providers in Ramona, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.