Individual provider Active NPI

Jean Caroline Haass, OTR

  • Occupational Therapist
  • West Lake Hills, TX
National Provider Identifier
1205191921
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
114834 Issued in TX
Practice address
925 Westbank Dr
Ste 200
West Lake Hills, TX 78746-6623
Phone
(512) 306-8007
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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 114834 TX Primary

Addresses

Primary practice location

925 Westbank Dr
Ste 200
West Lake Hills, TX 78746-6623

Mailing address

4701 Monterey Oaks Blvd
Apt 1022
Austin, TX 78749-1073
Phone (210) 912-6322

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
114834TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1205191921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 MONTEREY OAKS BLVD",
            "address_2": "APT 1022",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491073",
            "telephone_number": "210-912-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WESTBANK DR",
            "address_2": "STE 200",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466623",
            "telephone_number": "512-306-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAASS",
        "first_name": "JEAN",
        "middle_name": "CAROLINE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.