Active NPI
Jennifer K Dennis
- Occupational Therapist
- Boise, ID
National Provider Identifier
1063611085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1096
- Practice address
- 9050 W Overland Rd
Boise, ID 83709-2746 - Phone
- (208) 321-8880
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1096 | ID | Primary |
Addresses
Primary practice location
9050 W Overland Rd
Boise, ID 83709-2746
Mailing address
13393 N 7TH Ave
Boise, ID 83714-9468
Phone (208) 901-2903
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1096 | ID | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1063611085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13393 N 7TH AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837149468",
"telephone_number": "208-901-2903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9050 W OVERLAND RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837092746",
"telephone_number": "208-321-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "JENNIFER",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "1096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.