Jennifer K. Oglesby, D.T.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

18 Andover Dr
Springfield, IL 62704-5431

Phone

(217) 303-1115

NPI assigned

May 29, 2013

Last updated

May 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Killian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1184061285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ANDOVER DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045431",
            "telephone_number": "217-303-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ANDOVER DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045431",
            "telephone_number": "217-303-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLESBY",
        "first_name": "JENNIFER",
        "middle_name": "K.",
        "credential": "D.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KILLIAN",
            "credential": "D.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amir Oduche, MD
• Ebuka Edwin Oduche, MD
• Lindsey Oesch
• Benjamin M Oesterling, DO
• Danilo Ofreneo, M.D.
• Aminat Ogun, MD
• Haroun Babajide Ogun, MD, MPH
• Lily Linn Ohl
• Joshua Paul Ohliger, PT, DPT
• Jack D Ohringer, MD

• Early Intervention Provider Agency in Springfield, IL
• Providers in Springfield, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.