Individual provider Active NPI

Terry Anne Jequinto, OTR/L

  • Community Health Worker
  • Santa Clarita, CA
National Provider Identifier
1215203187
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
OT 775 Issued in CA
Practice address
29038 Discovery Ridge Dr
Santa Clarita, CA 91390-5757
Phone
(818) 434-8149
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X OT 775 CA Primary

Addresses

Primary practice location

29038 Discovery Ridge Dr
Santa Clarita, CA 91390-5757

Mailing address

29038 Discovery Ridge Dr
Santa Clarita, CA 91390-5757
Phone (818) 434-8149

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
OT 775CAMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1215203187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29038 DISCOVERY RIDGE DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905757",
            "telephone_number": "818-434-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29038 DISCOVERY RIDGE DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905757",
            "telephone_number": "818-434-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEQUINTO",
        "first_name": "TERRY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "OT 775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.