Individual provider Active NPI

Aimee Lashay Dejournett, COTA/L

  • Occupational Therapy Assistant
  • Jonesboro, AR
National Provider Identifier
1083455414
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT-A1909 Issued in AR
Practice address
1825 E Nettleton Ave Ste D
Jonesboro, AR 72401-5152
Phone
(870) 219-1086
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-A1909 AR Primary

Addresses

Primary practice location

1825 E Nettleton Ave Ste D
Jonesboro, AR 72401-5152

Mailing address

5228 Highway 62 W
Pocahontas, AR 72455-8979
Phone (870) 202-9001

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

LicenseStateTypeSpecialty
OT-A1909ARMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1083455414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 HIGHWAY 62 W",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724558979",
            "telephone_number": "870-202-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E NETTLETON AVE STE D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015152",
            "telephone_number": "870-219-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJOURNETT",
        "first_name": "AIMEE",
        "middle_name": "LASHAY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.