Whitney Nicole Nixon, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056015113 Issued in IL

Practice address

1418 College Dr
Mount Carmel, IL 62863-2638

Phone

(618) 263-6343

NPI assigned

Jul 19, 2021

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

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1942873880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 COUNTY ROAD 1500 N",
            "city": "GEFF",
            "state": "IL",
            "postal_code": "628424038",
            "telephone_number": "618-516-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 COLLEGE DR",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632638",
            "telephone_number": "618-263-6343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Zachery Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628646712",
            "country_code": "US",
            "telephone_number": "618-731-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIXON",
        "first_name": "WHITNEY",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057005050",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056015113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole L Myers, BSW
• Narendra H Anadkat M D P C
• Kara Newman, PA-C
• Garrett Kungho Ni, MD
• Amber Nickol, BA
• No Boundaries Rehabilitation
• Jami Grace Nobbe, MS, LAT, ATC
• James Bradley O'Neal, M.S.
• Kim E O'Neal, LPC
• Oakview Nursing & Rehabilitation LLC

• Occupational Therapist in Mount Carmel, IL
• Providers in Mount Carmel, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.