Active NPI
Jessica L Herrick, OTA
- Occupational Therapy Assistant
- Ankeny, IA
National Provider Identifier
1124307830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 000905
- Practice address
- 715 SW Ankeny Rd
Ankeny, IA 50023-9798 - Phone
- (515) 289-9600
- Fax
- (515) 964-0567
- NPI assigned
- Aug 11, 2011
- 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 Therapy Assistant | 224Z00000X | 000905 | IA | Primary |
Addresses
Primary practice location
715 SW Ankeny Rd
Ankeny, IA 50023-9798
Mailing address
715 SW Ankeny Rd
Ankeny, IA 50023-9798
Phone (515) 289-9600
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 |
|---|---|---|---|
| 000905 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313020800000",
"number": "1124307830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 SW ANKENY RD",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239798",
"telephone_number": "515-289-9600",
"fax_number": "515-964-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 SW ANKENY RD",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239798",
"telephone_number": "515-289-9600",
"fax_number": "515-964-0567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRICK",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IA",
"license": "000905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.