Jamie Renae Van Blarcom, OTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

324 Issued in NE

Practice address

20560 Binney St
Elkhorn, NE 68022-2092

Phone

(402) 321-1610

NPI assigned

Nov 21, 2018

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

Other names 1

• Jamie Schneider Other 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": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1043789894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20560 BINNEY ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20560 BINNEY ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222092",
            "telephone_number": "402-321-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BLARCOM",
        "first_name": "JAMIE",
        "middle_name": "RENAE",
        "credential": "OTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IA",
            "license": "509",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NE",
            "license": "324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "SCHNEIDER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Landon Valenta
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• Breanne Emily Vandyke
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• Michelle Vermeeren

• Occupational Therapy Assistant in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Occupational Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.