Shana Lyn Nielsen, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT00002458 Issued in WA

Practice address

747 Broadway
Seattle, WA 98122-4379

Phone

(206) 386-2803

Fax

(206) 386-6657

NPI assigned

Jan 26, 2007

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

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720134075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 NW 59TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072506",
            "telephone_number": "206-386-2803",
            "fax_number": "206-386-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224379",
            "telephone_number": "206-386-2803",
            "fax_number": "206-386-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "SHANA",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT00002458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ann Nielsen, MS, LMFT, MHP
• Nadine Myhre Nielsen, A.R.N.P.
• Niels C S Nielsen, MD
• Rebecca L Nielsen, OT
• Sarah Nielsen
• James Robert Nielson, MSW, LICSW
• Kiyle Nieman
• Tanner Nieman
• Elizabeth Niemann, CDP
• Alexandra Lauren Nienhuis, ARNP

• Pediatric Occupational Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.