Individual provider Active NPI

Nichole Eve Schommer, OTR/L

  • Occupational Therapist
  • Bartlesville, OK
National Provider Identifier
1356667562
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1873 Issued in OK
Practice address
4206 Beacon CT
Bartlesville, OK 74006-7601
Phone
(304) 615-8949
NPI assigned
Apr 13, 2010
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 006875 OH
Occupational Therapist 225X00000X 1873 OK Primary
Occupational Therapist 225X00000X 1373 WV

Addresses

Primary practice location

4206 Beacon CT
Bartlesville, OK 74006-7601

Mailing address

4206 Beacon CT
Bartlesville, OK 74006-7601
Phone (304) 615-8949

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
1373WVMDSchool Psychologist
OT 006875OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1356667562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 BEACON CT",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740067601",
            "telephone_number": "304-615-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 BEACON CT",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740067601",
            "telephone_number": "304-615-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOMMER",
        "first_name": "NICHOLE",
        "middle_name": "EVE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT 006875",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "1873",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.