Active NPI
Nicole Richmond
- Occupational Therapist
- New York, NY
National Provider Identifier
1841667425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 017871-1
- Practice address
- 10 W 135TH St
Apt 8L
New York, NY 10037-2602 - Phone
- (410) 903-2129
- NPI assigned
- Aug 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 017871-1 | NY | Primary |
Addresses
Primary practice location
10 W 135TH St
Apt 8L
New York, NY 10037-2602
Mailing address
10 W 135TH St
Apt 8L
New York, NY 10037-2602
Phone (410) 903-2129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017871-1 | Other | NY | OT LICENSE BAORD OF NEW YORK |
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 |
|---|---|---|---|
| 017871-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440892800000",
"number": "1841667425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 W 135TH ST",
"address_2": "APT 8L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100372602",
"telephone_number": "410-903-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 W 135TH ST",
"address_2": "APT 8L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100372602",
"telephone_number": "410-903-2129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-30",
"last_updated": "2015-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "017871-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSE BAORD OF NEW YORK",
"identifier": "017871-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.