Jennifer Clinton Vernon, OTRL

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

1289 Issued in NC

Practice address

59 Weaver Village Way
Weaverville, NC 28787-9492

Phone

(284) 849-4158

Fax

(828) 484-9478

NPI assigned

Sep 26, 2006

Last updated

Apr 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Combined Therapy Specialties of Asheville Inc

  • Physical Therapist
  • Asheville, NC
  • NPI 1093888950

  Occupational Therapist

  NPD (past)
• Henderson County Hospital Corporation

  dba Pardee Rx-Fleming

  • Community/Retail Pharmacy
  • Hendersonville, NC
  • NPI 1013694165
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1053412817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TURTLE CREEK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033152",
            "telephone_number": "828-274-2188",
            "fax_number": "828-274-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 WEAVER VILLAGE WAY",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879492",
            "telephone_number": "284-849-4158",
            "fax_number": "828-484-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "JENNIFER",
        "middle_name": "CLINTON",
        "name_prefix": "Ms.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "1289",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NC",
            "license": "1289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7302005",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher S Van Dyke, LCMHCA
• Charles John Vanderkolk, PH.D.
• Mark E Vantuyl, LPCS, LCAS, CCS
• Sara Vaughn
• Moriah Grayce Veres
• Jasmine Villarreal, MAOM, DIPL. O.M., L.
• Wal-Mart Stores East LP (WalMart Pharmacy 10-4334)
• Wal-Mart Stores, Inc. (Vision Center 30-4334)
• Hannah Wall
• Kimberley Dawn Walters, O.D.

• Hand Occupational Therapist in Weaverville, NC
• Providers in Weaverville, NC by specialty
• Hand Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.