Individual provider Active NPI

Jocelyn Beth White, OTR/L

  • Occupational Therapist
  • Knoxville, TN
National Provider Identifier
1245589357
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3701 Issued in TN
Practice address
614 Mabry Hood Road
Suite 301
Knoxville, TN 37932-2669
Phone
(865) 474-8410
Fax
(888) 291-0133
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 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 3701 TN Primary

Addresses

Primary practice location

614 Mabry Hood Road
Suite 301
Knoxville, TN 37932-2669

Mailing address

614 Mabry Hood Road
Suite 301
Knoxville, TN 37932-2669
Phone (865) 474-8410

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3701TNMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1245589357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 MABRY HOOD ROAD",
            "address_2": "SUITE 301",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322669",
            "telephone_number": "865-474-8410",
            "fax_number": "888-291-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 MABRY HOOD ROAD",
            "address_2": "SUITE 301",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322669",
            "telephone_number": "865-474-8410",
            "fax_number": "888-291-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JOCELYN",
        "middle_name": "BETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "3701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.