Active NPI
Jessica Jean Kemble, BS, OT
- Occupational Therapist
- Norfolk, MA
National Provider Identifier
1295765832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7960
- Practice address
- 58 Main St
Norfolk, MA 02056-1418 - Phone
- (508) 954-6800
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7960 | MA | Primary |
Addresses
Primary practice location
58 Main St
Norfolk, MA 02056-1418
Mailing address
58 Main St
Norfolk, MA 02056-1418
Phone (508) 954-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1758344 01 | Medicaid | TX |
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7960 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thom Neoponset Valley Early Intervention Program | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Norfolk, MA
- NPI 1821435488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1295765832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 MAIN ST",
"city": "NORFOLK",
"state": "MA",
"postal_code": "020561418",
"telephone_number": "508-954-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 MAIN ST",
"city": "NORFOLK",
"state": "MA",
"postal_code": "020561418",
"telephone_number": "508-954-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMBLE",
"first_name": "JESSICA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "BS, OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "7960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1758344 01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.