Jaclyn Renee Haley, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

104500 Issued in MN

Practice address

20288 Highway 15 N
Suite 100
Hutchinson, MN 55350-5684

Phone

(320) 587-2326

Fax

(320) 234-6358

NPI assigned

Aug 29, 2013

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

Other names 1

• Jaclyn Renee Schriber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1003240730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 LINCOLN AVE",
            "city": "ST PAUL PARK",
            "state": "MN",
            "postal_code": "550711249",
            "telephone_number": "218-791-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20288 HIGHWAY 15 N",
            "address_2": "SUITE 100",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553505684",
            "telephone_number": "320-587-2326",
            "fax_number": "320-234-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "JACLYN",
        "middle_name": "RENEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "104500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "SCHRIBER",
            "middle_name": "RENEE",
            "credential": "NONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Nicole Guza
• Ashley L Hackett, LPN
• Mark Kevin Hagberg, M.D.
• Amanda Elizabeth Haik
• Arzo Hakimi, RN
• Mary Decker Hall, MS, LP
• Teresa L. Hamiel, PAC
• Valerie Jean Hanna, L.AC. DIPLO OF ACU,
• Lisa Kay Hansen, RD, LD
• Denise Marie Hansn, LPTA

• Pediatric Occupational Therapist in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.