Active NPI
Angela Eggen, OTR
- Occupational Therapist
- Neillsville, WI
National Provider Identifier
1669573192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4086
- Practice address
- 216 Sunset PL
Neillsville, WI 54456-1706 - Phone
- (763) 689-5385
- NPI assigned
- Sep 26, 2006
- 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 | 4086 | WI | Primary |
Addresses
Primary practice location
216 Sunset PL
Neillsville, WI 54456-1706
Mailing address
N7465 E Snow Creek Rd
Black River Falls, WI 54615-5845
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 360T3EG | Other | MN | BLUE CROSS BLUE SHIELD |
| 616055700 | Medicaid | MN | |
| 41810700 | Medicaid | WI |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1669573192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N7465 E SNOW CREEK RD",
"city": "BLACK RIVER FALLS",
"state": "WI",
"postal_code": "546155845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 SUNSET PL",
"city": "NEILLSVILLE",
"state": "WI",
"postal_code": "544561706",
"telephone_number": "763-689-5385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGEN",
"first_name": "ANGELA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "360T3EG",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "616055700",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41810700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Neillsville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.