Individual provider Active NPI

Nicole Alicia Carranza, MOTR

  • Pediatric Occupational Therapist
  • McAllen, TX
National Provider Identifier
1679770226
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
112204 Issued in TX
Practice address
7516 N 2ND LN
McAllen, TX 78504-5682
Phone
(956) 525-2020
Fax
(956) 682-6536
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 112204 TX
Developmentally Disabled Services Day Training Agency 251C00000X 112204 TX
Pediatric Occupational Therapist 225XP0200X 112204 TX Primary

Addresses

Primary practice location

7516 N 2ND LN
McAllen, TX 78504-5682

Mailing address

7516 N 2ND LN
McAllen, TX 78504-5682
Phone (956) 525-2020

Other practice location 1

125 E Harvey St
McAllen, TX 78501-9442
Phone (956) 525-2020

Other practice location 2

4803 S Business Highway 281
Edinburg, TX 78539-8131
Phone (956) 525-2020

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

State licenses

LicenseStateTypeSpecialty
112204TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1679770226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7516 N 2ND LN",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045682",
            "telephone_number": "956-525-2020",
            "fax_number": "956-682-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7516 N 2ND LN",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045682",
            "telephone_number": "956-525-2020",
            "fax_number": "956-682-6536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 E Harvey St",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785019442",
            "country_code": "US",
            "telephone_number": "956-525-2020",
            "fax_number": "956-682-6536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4803 S Business Highway 281",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785398131",
            "country_code": "US",
            "telephone_number": "956-525-2020",
            "fax_number": "956-682-6536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRANZA",
        "first_name": "NICOLE",
        "middle_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "MOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112204",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": "112204",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "112204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.