Active NPI
Lacey B. Seipp, COTA
- Occupational Therapy Assistant
- Rice Lake, WI
National Provider Identifier
1740545821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 4855
- Practice address
- 1700 W Stout St
Rice Lake, WI 54868-5000 - Phone
- (715) 236-8100
- NPI assigned
- Jul 5, 2012
- Last updated
- Aug 13, 2015
- 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 Therapy Assistant | 224Z00000X | 4855 | WI | Primary |
Addresses
Primary practice location
1700 W Stout St
Rice Lake, WI 54868-5000
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4855 | WI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1740545821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-387-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W STOUT ST",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548685000",
"telephone_number": "715-236-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIPP",
"first_name": "LACEY",
"middle_name": "B.",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-05",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "4855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rice Lake, WI
- Brittany Paige Schultz, M.A., CCC-SLP
- Lloyd Leland Schultz III, MS, LPC-IT
- Bethany Erin Schweiner
- Mildred Jean Seabold, MS, RD,CD
- Michael Seebruck, OD
- Irina Selezneva, MD
- Jared Richard Sherman, PA-C
- Shopko Stores Operating Co LLC (ShopKo Pharmacy 132)
- Shopko Stores Operating Co. LLC (ShopKo Optical 132)
- Shoptikal LLC (Shopko Optical 4132)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.