Active NPI
Nicole Diehm, OTR/L
- Occupational Therapist
- Flint, MI
National Provider Identifier
1720637200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201010531
- Practice address
- G3201 Beecher Rd
Flint, MI 48532-3615 - Phone
- (810) 732-9200
- NPI assigned
- Sep 8, 2019
- Last updated
- Sep 8, 2019
- 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 | 5201010531 | MI | Primary |
Addresses
Primary practice location
G3201 Beecher Rd
Flint, MI 48532-3615
Mailing address
1016 Thomas Dr
Ashland, OH 44805-2951
Phone (419) 606-9885
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": "1567900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567900800000",
"number": "1720637200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 THOMAS DR",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448052951",
"telephone_number": "419-606-9885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G3201 BEECHER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485323615",
"telephone_number": "810-732-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEHM",
"first_name": "NICOLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-08",
"last_updated": "2019-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201010531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.