Individual provider Active NPI

Jordan Kay Billups, OTA

  • Occupational Therapy Assistant
  • Keokuk, IA
National Provider Identifier
1184112930
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
10 Village Cir
Keokuk, IA 52632-2059
Phone
(319) 524-5772
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Primary

Addresses

Primary practice location

10 Village Cir
Keokuk, IA 52632-2059

Mailing address

11310 Heather Ave
Douds, IA 52551-8206
Phone (641) 919-2112

Other practice location 1

11310 Heather Ave
Douds, IA 52551-8206
Phone (641) 919-2112

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

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1184112930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 HEATHER AVE",
            "city": "DOUDS",
            "state": "IA",
            "postal_code": "525518206",
            "telephone_number": "641-919-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VILLAGE CIR",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526322059",
            "telephone_number": "319-524-5772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11310 Heather Ave",
            "address_purpose": "LOCATION",
            "city": "Douds",
            "state": "IA",
            "postal_code": "525518206",
            "country_code": "US",
            "telephone_number": "641-919-2112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILLUPS",
        "first_name": "JORDAN",
        "middle_name": "KAY",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keokuk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.