Active NPI
Nicole Renee Sigona, OTRL
- Pediatric Occupational Therapist
- Maryland Heights, MO
National Provider Identifier
1376689307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2000175623
- Practice address
- 11723 Hollycrest Dr
Maryland Heights, MO 63043-1325 - Phone
- (314) 518-4674
- NPI assigned
- Jan 29, 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2000175623 | MO | Primary |
Addresses
Primary practice location
11723 Hollycrest Dr
Maryland Heights, MO 63043-1325
Mailing address
11723 Hollycrest Dr
Maryland Heights, MO 63043-1325
Phone (314) 518-4674
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114090792 | Other | MO | GROUP NPI |
| 479008500 | Medicaid | MO | |
| 507265809 | Medicaid | MO |
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 |
|---|---|---|---|
| 2000175623 | MO | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1376689307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11723 HOLLYCREST DR",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "630431325",
"telephone_number": "314-518-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11723 HOLLYCREST DR",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "630431325",
"telephone_number": "314-518-4674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIGONA",
"first_name": "NICOLE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MO",
"license": "2000175623",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1114090792",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "479008500",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507265809",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryland Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.