Active NPI
Jade Morgan Taylor Haddix, OTR/L
- Occupational Therapist
- Richmond, KY
National Provider Identifier
1306487541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 260068
- Practice address
- 200 Meridian Way
Richmond, KY 40475-3331 - Phone
- (610) 991-2034
- NPI assigned
- Sep 29, 2019
- 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 | 260068 | KY | Primary |
Addresses
Primary practice location
200 Meridian Way
Richmond, KY 40475-3331
Mailing address
142 Jason Cir
Berea, KY 40403-2106
Phone (859) 893-3523
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 260068 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569715200000",
"number": "1306487541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 JASON CIR",
"city": "BEREA",
"state": "KY",
"postal_code": "404032106",
"telephone_number": "859-893-3523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MERIDIAN WAY",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404753331",
"telephone_number": "610-991-2034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDIX",
"first_name": "JADE",
"middle_name": "MORGAN TAYLOR",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-29",
"last_updated": "2019-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "260068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.