Nicole Ekegren

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

106295 Issued in MN

Practice address

550 Snelling Ave S Ste 104
Saint Paul, MN 55116-1578

Phone

(651) 698-1729

NPI assigned

Feb 22, 2021

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

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• The Therapy Spot, LLC

  • Speech-Language Pathologist
  • Saint Paul, MN
  • NPI 1619446382

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1447844352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9982 199TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448957",
            "telephone_number": "952-237-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SNELLING AVE S STE 104",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161578",
            "telephone_number": "651-698-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKEGREN",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "106295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily J Eisberner, PT, DPT
• Brooke Inez Ellingson Eischens, APRN, CNM
• Olivia Marie Eisenhauer
• Michael Eittreim, M.A.
• Amane Kassim Ejero
• Sousana Ekladious, LMHC
• Laura Kristine Eklund
• El Camino LLC
• Charbel El Kosseifi, MD
• El Shaddai Center LLC

• Occupational Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.