Active NPI
Teresa Noel Nelson, OTR/L
- Occupational Therapist
- Council Bluffs, IA
National Provider Identifier
1508171554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00872
- Practice address
- 1600 McPherson Ave
Council Bluffs, IA 51503-4858 - Phone
- (712) 322-9285
- NPI assigned
- Aug 15, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 00872 | IA | Primary |
Addresses
Primary practice location
1600 McPherson Ave
Council Bluffs, IA 51503-4858
Mailing address
1409 Golden Hills Dr
Crescent, IA 51526-3618
Phone (712) 227-0081
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 |
|---|---|---|---|
| 00872 | IA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281830400000",
"number": "1508171554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 GOLDEN HILLS DR",
"city": "CRESCENT",
"state": "IA",
"postal_code": "515263618",
"telephone_number": "712-227-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MCPHERSON AVE",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515034858",
"telephone_number": "712-322-9285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "TERESA",
"middle_name": "NOEL",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-15",
"last_updated": "2010-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "00872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.