Active NPI
Emily Renee' Land
- Occupational Therapist
- Jackson, KY
National Provider Identifier
1093200743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 168904
- Practice address
- 420 Jett Dr
Jackson, KY 41339-9621 - Phone
- (606) 666-2456
- NPI assigned
- Jun 26, 2018
- 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 | 168904 | KY | Primary |
Addresses
Primary practice location
420 Jett Dr
Jackson, KY 41339-9621
Mailing address
43 Gross Loop
Jackson, KY 41339-8625
Phone (606) 560-1227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000 | Other | N/A |
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 |
|---|---|---|---|
| 168904 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1093200743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 GROSS LOOP",
"city": "JACKSON",
"state": "KY",
"postal_code": "413398625",
"telephone_number": "606-560-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 JETT DR",
"city": "JACKSON",
"state": "KY",
"postal_code": "413399621",
"telephone_number": "606-666-2456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAND",
"first_name": "EMILY",
"middle_name": "RENEE'",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "168904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "0000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, KY
- Kentucky Institute for Eye Health & Surgery
- Kentucky Institute for Eye Health & Surgery
- Kentucky River HBP LLC
- Kentucky River Physician Corporation
- Kentucky River Physician Corporation
- Landmark of Breathitt County Rehabilitation and Nursing Center
- Lifetime Potentials, Inc.
- Lincare Inc
- Henry R. Luka, M.A., M.ED., D.MIN.
- Sherif Malek, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.