Andrea Marie Nielson, OTD, OTR/L, CNS,CSRS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT11360 Issued in CA

Practice address

44600 Monterey Ave
Palm Desert, CA 92260-3323

Phone

(760) 851-8878

NPI assigned

Jul 7, 2023

Last updated

Jul 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Andrea Marie Heinrichs Nielson Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Easy Speech Pathology IncGroup PAC ID 2163716457, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Easy Speech Pathology, Inc.

  dba Easy Speech Therapy Center

  • Multi-Specialty Clinic/Center
  • Palm Desert, CA
  • NPI 1124434261
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1407534639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74773 GARY AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602023",
            "telephone_number": "760-851-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44600 MONTEREY AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603323",
            "telephone_number": "760-851-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L, CNS,CSRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT11360",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CA",
            "license": "OT11360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "HEINRICHS NIELSON",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "OTD, OTR/L, CNS,CSRS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• VI Nguyen, OD
• Wendy Uyen Nguyen, PHARMD
• Nicholas S Baumann, DDS Inc
• Anne A. Nicholas, D.D.S.
• Esther Nielsen, MS, CCC-SLP
• Nikjoo DDS Inc.
• Duane T Nishikubo, D.M.D.
• Cynthia Nobriga, DAOM, LAC
• Amanda Nolan I
• Wendy Sue Norris, RN

• Occupational Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.