Nicole Madison Pulse

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61349310 Issued in WA

Practice address

17825 59TH Ave NE Ste B
Arlington, WA 98223-6453

Phone

(360) 363-4234

Fax

(360) 363-4235

NPI assigned

Aug 17, 2022

Last updated

Oct 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole@beautifulautism.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Swedish Health Services

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1689612954
  Medicare reassignment NPD
• Swedish Health Services

  dba Swedish Physician Division

  • Surgery Physician
  • Seattle, WA
  • NPI 1053368571
  NPD (past)

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1841918661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17825 59TH AVE NE STE B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236453",
            "telephone_number": "360-363-4234",
            "fax_number": "360-363-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17825 59TH AVE NE STE B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236453",
            "telephone_number": "360-363-4234",
            "fax_number": "360-363-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULSE",
        "first_name": "NICOLE",
        "middle_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61349310",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT61349310",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nicole@beautifulautism.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17825 59th Ave NE Ste B",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982236453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Public Hospital District #3 Snohomish County (Cascade Valley Smokey Point Clinic)
• Public Hospital District #3 Snohomish County
• Public Hospital District No 1 Skagit (Skagit Regional Health - Arlington Pediatrics)
• Puget Sound Kidney Centers (PSKC - Smokey Point)
• Alicia Pullen, STUDENT/INTERN
• Sonia Questad, LMP
• Amber M Radford-Schwab, COTA
• Skylar Blake Radford, M.ED., BCBA, LBA
• Zandra J. Raef, ATC
• Christina Raghubeer

• Occupational Therapist in Arlington, WA
• Providers in Arlington, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.