Individual provider Active NPI

Joyce Ann Wicklund, OT

  • Occupational Therapist
  • Eureka, CA
National Provider Identifier
1548478589
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9270 Issued in CA
Practice address
2353 23Rd St.,
Eureka Health & Wellness Center, OT Dept.
Eureka, CA 95501
Phone
(707) 445-3261
NPI assigned
May 21, 2007
Last updated
Apr 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9270 CA Primary

Addresses

Primary practice location

2353 23Rd St.,
Eureka Health & Wellness Center, OT Dept.
Eureka, CA 95501

Mailing address

2353 23Rd St
Eureka Health & Wellness Center, OT Dept.
Eureka, CA 95501-3201
Phone (707) 445-3261

Other names 1

  • Ms. Joyce Ann Wicklund, Otr/L Professional name

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

LicenseStateTypeSpecialty
9270CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1548478589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 23RD ST",
            "address_2": "EUREKA HEALTH & WELLNESS CENTER, OT DEPT.",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013201",
            "telephone_number": "707-445-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 23RD ST.,",
            "address_2": "EUREKA HEALTH & WELLNESS CENTER, OT DEPT.",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-445-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKLUND",
        "first_name": "JOYCE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "WICKLUND, OTR/L",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.