Active NPI
Caroline Ann Norell, OTD
- Occupational Therapist
- Oakland, CA
National Provider Identifier
1861877193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15259
- Practice address
- 2005 Pleasant Valley Ave
Apt 117
Oakland, CA 94611-4653 - Phone
- (520) 465-0578
- NPI assigned
- Jul 28, 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 | 15259 | CA | Primary |
Addresses
Primary practice location
2005 Pleasant Valley Ave
Apt 117
Oakland, CA 94611-4653
Mailing address
2005 Pleasant Valley Ave
Apt 117
Oakland, CA 94611-4653
Phone (520) 465-0578
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1861877193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 PLEASANT VALLEY AVE",
"address_2": "APT 117",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114653",
"telephone_number": "520-465-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 PLEASANT VALLEY AVE",
"address_2": "APT 117",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114653",
"telephone_number": "520-465-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORELL",
"first_name": "CAROLINE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "OTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-28",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "15259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.