Individual provider Active NPI

Lindsey Blazel, OTR

  • Occupational Therapist
  • MC Farland, WI
National Provider Identifier
1871028985
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6076-26 Issued in WI
Practice address
5979 Siggelkow Rd
MC Farland, WI 53558-9817
Phone
(608) 838-8999
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6076-26 WI Primary

Addresses

Primary practice location

5979 Siggelkow Rd
MC Farland, WI 53558-9817

Mailing address

5979 Siggelkow Rd
MC Farland, WI 53558-9817
Phone (608) 838-8999

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

LicenseStateTypeSpecialty
6076-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Inc. Roman Catholic Diocese Past Accepting new patients
Common Threads Family Resource Center Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1871028985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 SIGGELKOW RD",
            "city": "MC FARLAND",
            "state": "WI",
            "postal_code": "535589817",
            "telephone_number": "608-838-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 SIGGELKOW RD",
            "city": "MC FARLAND",
            "state": "WI",
            "postal_code": "535589817",
            "telephone_number": "608-838-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZEL",
        "first_name": "LINDSEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6076-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Farland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.