Active NPI
Jennifer Dee Everett, OTR
- Occupational Therapist
- Jacksonville Beach, FL
National Provider Identifier
1306319017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT19639
- Practice address
- 235 9TH Ave N
Jacksonville Beach, FL 32250-7142 - Phone
- (904) 249-8893
- NPI assigned
- Jan 4, 2019
- Last updated
- Jan 4, 2019
- 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 | OT19639 | FL | Primary |
Addresses
Primary practice location
235 9TH Ave N
Jacksonville Beach, FL 32250-7142
Mailing address
1117 2ND St S
Jacksonville Beach, FL 32250-6511
Phone (912) 245-0270
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 |
|---|---|---|---|
| OT19639 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1306319017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 2ND ST S",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322506511",
"telephone_number": "912-245-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 9TH AVE N",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322507142",
"telephone_number": "904-249-8893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "JENNIFER",
"middle_name": "DEE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-04",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT19639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.