Danielle Page Nicholson, OTR/L, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

121899 Issued in TX

Practice address

2535 Lone Star Dr
Dallas, TX 75212-6313

Phone

(214) 467-9787

NPI assigned

Jun 28, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1568032985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 PRAIRIE WATERS DR APT 5102",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527097",
            "telephone_number": "815-573-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 LONE STAR DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752126313",
            "telephone_number": "214-467-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "DANIELLE",
        "middle_name": "PAGE",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECPTOTE",
            "identifier": "121899",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "455667",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Amanda Merritt Nichols, CRNA, DNP
• Lelia Lagrasse Nichols, NP
• Mabry Elizabeth Nichols
• Tiffany Renae Nichols
• Timothy D Nichols, MD
• Sharon Nicholson, LBSW
• Janice Nici, PH.D.
• Brenda Joyce Nickel, PA-C
• Janessa Lynn Nickel, PMHNP
• Katherine Nickell, MPAS, PA-C

• Occupational Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.