Nicole Simone Underwood

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60286485 Issued in WA

Practice address

1010 S 336TH St
Suite 210
Federal Way, WA 98003-6385

Phone

(866) 835-8091

NPI assigned

Jul 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optimal Senior Living, LLC

  • Gerontology Occupational Therapist
  • Albuquerque, NM
  • NPI 1841028818
  Medicare reassignment NPD Authorized official
• Aegis Group Practice LLC

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1427774959

  Occupational Therapist

  Medicare reassignment NPD
• Prestige Rehab NM LLC

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1821821836

  Occupational Therapist

  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030

  Occupational Therapist

  NPD
• SHC Services Inc.

  • Skilled Nursing Facility
  • Federal Way, WA
  • NPI 1124306725
  NPD (past)
• Supplemental Healthcare

  • Home Health Agency
  • Federal Way, WA
  • NPI 1932487535
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1922353606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S 336TH ST",
            "address_2": "SUITE 210",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036385",
            "telephone_number": "866-835-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 336TH ST",
            "address_2": "SUITE 210",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036385",
            "telephone_number": "866-835-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "NICOLE",
        "middle_name": "SIMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60286485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• U.S. Healthworks Medical Group of Washington, PS
• Olivia Uhart, MSN, PMHNP-BC
• Lucy Ulbrickson, LMP
• Olivia Ulima
• Naomi Nerissa Umoh
• Unison Wellness Center FW PLLC
• United States Catholic Conference (St Francis Hospital Family Education)
• United States Catholic Conference (St Francis Hospital Psychiatric Professional Services)
• United States Catholic Conference (St Francis Burn & Wound Care Clinic)
• Uplifting Psychological Services

• Occupational Therapist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.