Active NPI
Nola Francine Macaskill, OTR/L
- Occupational Therapist
- Coeur D Alene, ID
National Provider Identifier
1457789612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-405
- Practice address
- 704 W Empire Ave
Coeur D Alene, ID 83814-2105 - Phone
- (208) 660-8379
- NPI assigned
- Oct 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-405 | ID | Primary |
| Occupational Therapist | 225X00000X | 00000793 | WA |
Addresses
Primary practice location
704 W Empire Ave
Coeur D Alene, ID 83814-2105
Mailing address
704 W Empire Ave
Coeur D Alene, ID 83814-2105
Phone (208) 660-8379
Other names 1
- Nola Francine Borneman
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 |
|---|---|---|---|
| OT-405 | ID | MD | Occupational Therapist |
| 00000793 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382918400000",
"number": "1457789612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 W EMPIRE AVE",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142105",
"telephone_number": "208-660-8379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 W EMPIRE AVE",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142105",
"telephone_number": "208-660-8379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACASKILL",
"first_name": "NOLA",
"middle_name": "FRANCINE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-28",
"last_updated": "2013-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-405",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "00000793",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NOLA",
"last_name": "BORNEMAN",
"middle_name": "FRANCINE",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.