Active NPI
Jill Ann Nealey
- Occupational Therapist
- West Burlington, IA
National Provider Identifier
1033757828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 01034
- Practice address
- 1221 S Gear Ave
West Burlington, IA 52655-1679 - Phone
- (319) 850-0281
- NPI assigned
- Dec 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01034 | IA | Primary |
Addresses
Primary practice location
1221 S Gear Ave
West Burlington, IA 52655-1679
Mailing address
1221 S Gear Ave
West Burlington, IA 52655-1681
Phone (319) 768-4208
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01034 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1033757828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S GEAR AVE",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551681",
"telephone_number": "319-768-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S GEAR AVE",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551679",
"telephone_number": "319-850-0281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEALEY",
"first_name": "JILL",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-12",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "01034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.