Nicole Anderson Naberhaus, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105420 Issued in MN

Practice address

2101 Wooddale Dr Ste a
Woodbury, MN 55125

Phone

(651) 738-9888

NPI assigned

Sep 9, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1437431004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 WOODDALE DR STE A",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252933",
            "telephone_number": "651-728-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 WOODDALE DR STE A",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "55125",
            "telephone_number": "651-738-9888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1675 SW Marlow Ave",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972255104",
            "country_code": "US",
            "telephone_number": "503-228-6479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Wooddale Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252933",
            "country_code": "US",
            "telephone_number": "651-738-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NABERHAUS",
        "first_name": "NICOLE",
        "middle_name": "ANDERSON",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105420",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "287391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean de Dieu Musabyimana
• Najaha Musse, DO
• Thomas J Musser, D.D.S.
• Mumtaaz Mustafa
• Emily Nicole Bernice Myer, M.D.
• Kara Lynn Nachtsheim, APRN
• Sara A Nagel
• Ann Nagle
• Anthony Tyler Nagy, OTR/L
• Syed Muhammed Bilal Naqvi, MD

• Occupational Therapist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.