Active NPI
Kaitlyn Jeansonne, MOT, LOTR
- Occupational Therapist
- Mansfield, LA
National Provider Identifier
1174927644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTT.200776
- Practice address
- 201 Crosby St
Mansfield, LA 71052-2613 - Phone
- (318) 872-2836
- NPI assigned
- Oct 13, 2014
- Last updated
- May 10, 2021
- 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 | OTT.200776 | LA | Primary |
Addresses
Primary practice location
201 Crosby St
Mansfield, LA 71052-2613
Mailing address
2044 Pepper Ridge Dr
Shreveport, LA 71115-9525
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 |
|---|---|---|---|
| OTT.200776 | LA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desoto Parish School Sytem | Past | Accepting new patients | |
| Wardell Interests, Inc | Past | Accepting new patients | |
| Wardell Interest, Inc. | Past | Accepting new patients | |
| Desoto Parish Public School System | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Local Education Agency (LEA)
- Mansfield, LA
- NPI 1932381472
-
- Local Education Agency (LEA)
- Mansfield, LA
- NPI 1033393426
-
- Speech-Language Pathologist
- Shreveport, LA
- NPI 1134477813
-
dba Little Works In Progress
- Speech-Language Pathologist
- Shreveport, LA
- NPI 1134266083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1174927644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2044 PEPPER RIDGE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711159525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CROSBY ST",
"city": "MANSFIELD",
"state": "LA",
"postal_code": "710522613",
"telephone_number": "318-872-2836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEANSONNE",
"first_name": "KAITLYN",
"credential": "MOT, LOTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-13",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "OTT.200776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.