Individual provider Active NPI

Julie Faldmo Nilson, MA,OTR/L

  • Occupational Therapist
  • Santa Clarita, CA
National Provider Identifier
1629690441
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT6110 Issued in CA
Practice address
22241 Evening Star CT
Santa Clarita, CA 91390-5765
Phone
(661) 373-8738
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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 OT6110 CA Primary

Addresses

Primary practice location

22241 Evening Star CT
Santa Clarita, CA 91390-5765

Mailing address

22241 Evening Star CT
Santa Clarita, CA 91390-5765
Phone (661) 297-9315

Other identifiers 2

IdentifierTypeStateIssuer
1047579OtherNBCOT
OT6110OtherCACA STATE LICENSING BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnilson@saugususd.org Direct

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
OT6110CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1629690441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22241 EVENING STAR CT",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905765",
            "telephone_number": "661-297-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22241 EVENING STAR CT",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905765",
            "telephone_number": "661-373-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSON",
        "first_name": "JULIE",
        "middle_name": "FALDMO",
        "credential": "MA,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT6110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "1047579",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSING BOARD",
            "identifier": "OT6110",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnilson@saugususd.org",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Saugus Union School District",
            "address_1": "22241 Evening Star Ct",
            "city": "Santa Clarita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913905765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.