Jewel Opal Amethyst Nicholson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

1615 Miami Rd
Fort Lauderdale, FL 33316-2933

Phone

(954) 523-5673

NPI assigned

Dec 13, 2017

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

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801301809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5903 LONDON LN",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214186",
            "telephone_number": "646-379-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MIAMI RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162933",
            "telephone_number": "954-523-5673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Rock Island Rd",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "333194528",
            "country_code": "US",
            "telephone_number": "954-485-6144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2675 N Andrews Ave",
            "address_purpose": "LOCATION",
            "city": "Wilton Manors",
            "state": "FL",
            "postal_code": "333112509",
            "country_code": "US",
            "telephone_number": "954-563-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "JEWEL",
        "middle_name": "OPAL AMETHYST",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Rashid OD PA
• Roy Peter Nicholas, MSW
• Georgina Nichols, M.D.
• Scott Nichols, MD
• Aria Nicholson, MS, LMHC
• William B Nicholson, CRNA
• Victoria Green Nickeson, N.P.
• Nicklaus Children'S Pediatric Specialists, LLC
• Nicklaus Children'S Pediatric Specialists, LLC
• Nicklaus Children'S Pediatric Specialists, LLC

• Occupational Therapy Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.