Active NPI
Jennie White
- Occupational Therapist
- Escondido, CA
National Provider Identifier
1306313887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14265
- Practice address
- 2151 S Juniper St
Escondido, CA 92025-6644 - Phone
- (253) 209-0413
- NPI assigned
- Nov 1, 2018
- Last updated
- Nov 1, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 14265 | CA | Primary |
Addresses
Primary practice location
2151 S Juniper St
Escondido, CA 92025-6644
Mailing address
2151 S Juniper St
Escondido, CA 92025-6644
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14265 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1306313887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 S JUNIPER ST",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920256644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 S JUNIPER ST",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920256644",
"telephone_number": "253-209-0413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JENNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "14265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.