Jessica Nicole Whitt, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

C1472 Issued in WV

Practice address

330 Tazewell St
Wytheville, VA 24382-2316

Phone

(276) 228-5411

NPI assigned

Jun 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265635213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 KENNEDY DR",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246373587",
            "telephone_number": "276-963-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 TAZEWELL ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822316",
            "telephone_number": "276-228-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITT",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C1472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Wells, PMHNP-BC
• Pamela Beaver Wells, DNP, FNP-BC
• Jasmine Cressel White, LPC
• Aubrey L Whitlow Jr., LICENSED PHYSICAL TH
• Dixie Whitt
• Andrew Preston Widener, FNP
• Mary K Willard, LICENSED PHYSICAL TH
• Megan L Williams, RD
• Wilson Dental PC
• Deidre Smith Wilson, DDS

• Occupational Therapy Assistant in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.