Active NPI
Jerilyn Catherine Oquendo
- Art Therapist
- Philadelphia, PA
National Provider Identifier
1235859331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Practice address
- 419 S 19TH St
Philadelphia, PA 19146-1415 - Phone
- (267) 996-9964
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | Primary |
Addresses
Primary practice location
419 S 19TH St
Philadelphia, PA 19146-1415
Mailing address
2001 Spring Garden St Apt 305
Philadelphia, PA 19130-5011
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": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1235859331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SPRING GARDEN ST APT 305",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191305011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 S 19TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191461415",
"telephone_number": "267-996-9964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OQUENDO",
"first_name": "JERILYN",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.