Individual provider Active NPI

Jessica Rutledge Princell, OTD, OTR/L

  • Occupational Therapist
  • Meridian, MS
National Provider Identifier
1306196258
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3498 Issued in AL
Practice address
1318 15TH Ave
Meridian, MS 39301-4205
Phone
(601) 938-7740
NPI assigned
Sep 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2847 MS
Occupational Therapist 225X00000X 3498 AL Primary

Addresses

Primary practice location

1318 15TH Ave
Meridian, MS 39301-4205

Mailing address

2198A Highway 19 S
Meridian, MS 39301-8214
Phone (601) 938-7740

Other identifiers 4

IdentifierTypeStateIssuer
2847OtherMSOT
3498OtherALAL BOARD OF OT
2847MedicaidMS
4623OtherTNOCCUPATIONAL THERAPIST

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
3498ALMDOccupational Therapist
2847MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingdom Kids, PLLC Occupational Therapist CurrentSince Jan 4, 2026 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.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1306196258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2198A HIGHWAY 19 S",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393018214",
            "telephone_number": "601-938-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 15TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014205",
            "telephone_number": "601-938-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCELL",
        "first_name": "JESSICA",
        "middle_name": "RUTLEDGE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "2847",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "3498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT",
            "identifier": "2847",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL BOARD OF OT",
            "identifier": "3498",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2847",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "4623",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.