Individual provider Active NPI

Janelle Hudson, OTRL

  • Occupational Therapist
  • Caro, MI
National Provider Identifier
1003247933
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201005040 Issued in MI
Practice address
1655 E Caro Rd
Caro, MI 48723-9319
Phone
(989) 673-2500
Fax
(989) 673-3979
NPI assigned
Dec 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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 5201005040 MI Primary

Addresses

Primary practice location

1655 E Caro Rd
Caro, MI 48723-9319

Mailing address

1655 E Caro Rd
Caro, MI 48723-9319
Phone (989) 673-2500

Other identifiers 2

IdentifierTypeStateIssuer
1036320OtherMINATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC.
5201005040OtherMIBOARD OF OCCUPATIONAL THERAPISTS OCCUPATIONAL THERAPIST LICENSE

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
5201005040MIMDOccupational Therapist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20145/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1003247933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 E CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239319",
            "telephone_number": "989-673-2500",
            "fax_number": "989-673-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 E CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239319",
            "telephone_number": "989-673-2500",
            "fax_number": "989-673-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JANELLE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC.",
            "identifier": "1036320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF OCCUPATIONAL THERAPISTS OCCUPATIONAL THERAPIST LICENSE",
            "identifier": "5201005040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.