NPIMap

Individual provider Active NPI

Natalie Parrish Jackson, OTR/L

  • Occupational Therapist
  • Brewton, AL
National Provider Identifier
1184007262
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3969 Issued in AL
Practice address
403 Forrest Ave
Brewton, AL 36426-2622
Phone
(251) 241-9454
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3969 AL Primary

Addresses

Primary practice location

403 Forrest Ave
Brewton, AL 36426-2622

Mailing address

105 McMead Dr
Brewton, AL 36426-1150

Other practice location 1

120 Governors Dr SE
Huntsville, AL 35801-4320
Phone (256) 265-7952

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL natalie@skillbuildersot.com

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
3969ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Skill Builders OT Services, LLC CurrentSince Nov 27, 2022 Accepting new patients
HH Fever and Flu Clinic PastSince Mar 1, 2020 Accepting new patients
Huntsville Hospital Best Start Program Past Accepting new patients

Locations

1705 Old Castleberry Rd
Brewton, AL 36426

403 Forrest Ave
East Brewton, AL 36426
Phone (251) 286-8354

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1184007262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MCMEAD DR",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 FORREST AVE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364262622",
            "telephone_number": "251-241-9454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Governors Dr SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014320",
            "country_code": "US",
            "telephone_number": "256-265-7952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "NATALIE",
        "middle_name": "PARRISH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "3969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "natalie@skillbuildersot.com",
            "affiliation": "N",
            "address_1": "403 Forrest Ave",
            "city": "Brewton",
            "state": "AL",
            "country_code": "US",
            "postal_code": "364262622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brewton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.