Active NPI
Jessica Draper, OTR/L, IBCLC
- Occupational Therapist
- Eugene, OR
National Provider Identifier
1063880615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 366023
- Practice address
- 1922 Minda Dr
Eugene, OR 97401-7211 - Phone
- (707) 484-6460
- NPI assigned
- Sep 11, 2015
- Last updated
- Dec 16, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 366023 | OR | Primary |
| Lactation Consultant (Non-RN) | 174N00000X | L-316769 | OR |
Addresses
Primary practice location
1922 Minda Dr
Eugene, OR 97401-7211
Mailing address
1922 Minda Dr
Eugene, OR 97401-7211
Phone (707) 484-6460
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 |
|---|---|---|---|
| L-316769 | OR | MD | Lactation Consultant (Non-RN) |
| 366023 | OR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halia Therapeutics LLC | Lactation Consultant, Non-RN | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1063880615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 MINDA DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974017211",
"telephone_number": "707-484-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1922 MINDA DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974017211",
"telephone_number": "707-484-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAPER",
"first_name": "JESSICA",
"credential": "OTR/L, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-11",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "366023",
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "OR",
"license": "L-316769",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.