Individual provider Active NPI

Lisa Nelson, OTR/L

  • Occupational Therapist
  • Richland, WA
National Provider Identifier
1669077178
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61593677 Issued in WA
Practice address
303 Bradley Blvd Ste 212
Richland, WA 99352-4497
Phone
(425) 367-1387
NPI assigned
Dec 2, 2020
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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 OT61593677 WA Primary

Addresses

Primary practice location

303 Bradley Blvd Ste 212
Richland, WA 99352-4497

Mailing address

303 Bradley Blvd Ste 212
Richland, WA 99352-4497
Phone (425) 367-1387

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
OT61593677WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dandelion Pediatrics Occupational Therapy Assistant CurrentSince Jan 1, 2024 Accepting new patients

Locations

303 Bradley Blvd
Ste 212
Richland, WA 99352
Phone (425) 367-1387

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1669077178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BRADLEY BLVD STE 212",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524497",
            "telephone_number": "425-367-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BRADLEY BLVD STE 212",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524497",
            "telephone_number": "425-367-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61593677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.