Active NPI
Brenda L.E. Jackson, OTR/L
- Occupational Therapist
- North Platte, NE
National Provider Identifier
1083060610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1946
- Practice address
- 601 W Leota St
North Platte, NE 69101-6525 - Phone
- (308) 696-8000
- NPI assigned
- May 12, 2016
- 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 | 1946 | NE | Primary |
Addresses
Primary practice location
601 W Leota St
North Platte, NE 69101-6525
Mailing address
911 Grande Ave
North Platte, NE 69101-5277
Phone (308) 520-2286
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1083060610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 GRANDE AVE",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015277",
"telephone_number": "308-520-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W LEOTA ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691016525",
"telephone_number": "308-696-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "BRENDA",
"middle_name": "L.E.",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.