Active NPI
Karen Maria Nicholson, OCCUPATIONAL THERAPY
- Occupational Therapist
- Queens Village, NY
National Provider Identifier
1851603153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 016122-1
- Practice address
- 21904 112TH Ave
Queens Village, NY 11429-2538 - Phone
- (917) 355-4158
- NPI assigned
- Jul 2, 2010
- 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 | 016122-1 | NY | Primary |
Addresses
Primary practice location
21904 112TH Ave
Queens Village, NY 11429-2538
Mailing address
21904 112TH Ave
Queens Village, NY 11429-2538
Phone (917) 355-4158
Other names 1
- Miss Karen Maria Duncan
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 |
|---|---|---|---|
| 016122-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1851603153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21904 112TH AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114292538",
"telephone_number": "917-355-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21904 112TH AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114292538",
"telephone_number": "917-355-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "KAREN",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "OCCUPATIONAL THERAPY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-02",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "016122-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "DUNCAN",
"middle_name": "MARIA",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.