Hattie Walker Nelson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4693 Issued in SC

Practice address

1950 Ridgedale Rd
South Bend, IN 46614-2243

Phone

(574) 291-6722

NPI assigned

Jun 29, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• McLeod Health Clarendon

  • Rural Health Clinic/Center
  • Timmonsville, SC
  • NPI 1003461773
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1851598023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 CANADAIANGEESE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291538409",
            "telephone_number": "574-339-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 RIDGEDALE RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142243",
            "telephone_number": "574-291-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "HATTIE",
        "middle_name": "WALKER",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003679A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark R. Neff, MD
• Neighborcare of Indiana, LLC
• Neil Gilbert Counseling & Healing LLC
• Staci L Nekic, NP
• Rachel Ann Nelms, BA
• Kevin R Nelson, PHARMD
• Ronald D Nelson, MD
• Nephrology Inc
• Kathleen T Neuhoff, DPM
• Neuropsychiatric Hospitals, LLC

• Occupational Therapist in South Bend, IN
• Providers in South Bend, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.