Individual provider Active NPI

Jennifer M Barnes, OTR-L

  • Occupational Therapist
  • Bellevue, NE
National Provider Identifier
1275877938
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
466 Issued in NE
Practice address
1820 Hillcrest Dr
Suite a
Bellevue, NE 68005-3636
Phone
(402) 682-4808
Fax
(402) 682-6563
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 466 NE Primary

Addresses

Primary practice location

1820 Hillcrest Dr
Suite a
Bellevue, NE 68005-3636

Mailing address

1820 Hillcrest Dr
Suite a
Bellevue, NE 68005-3636
Phone (402) 682-4808

Other names 1

  • Jennifer M Moore Former name

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
466NEMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1275877938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 HILLCREST DR",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053636",
            "telephone_number": "402-682-4808",
            "fax_number": "402-682-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 HILLCREST DR",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053636",
            "telephone_number": "402-682-4808",
            "fax_number": "402-682-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MOORE",
            "middle_name": "M",
            "credential": "OTR-L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.