Individual provider Active NPI

Jennifer Dawn Varnell, OTR/L

  • Occupational Therapist
  • Woodbridge, VA
National Provider Identifier
1316505472
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119008030 Issued in VA
Practice address
14906 Jefferson Davis Hwy
Woodbridge, VA 22191-4016
Phone
(703) 491-6167
NPI assigned
Jun 4, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119008030 VA Primary

Addresses

Primary practice location

14906 Jefferson Davis Hwy
Woodbridge, VA 22191-4016

Mailing address

15257 Waterwheel Ter
Woodbridge, VA 22191-3836
Phone (909) 915-9076

Other names 1

  • Jennifer Dawn Clegg Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Michele.joiner@genesishcc.com Envoy of Woodbridge, LLC

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
0119008030VAMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: michele.joiner@genesishcc.com

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1316505472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15257 WATERWHEEL TER",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913836",
            "telephone_number": "909-915-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14906 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914016",
            "telephone_number": "703-491-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNELL",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michele.joiner@genesishcc.com",
            "affiliation": "Y",
            "affiliationName": "Envoy of Woodbridge, LLC",
            "address_1": "14906 Jefferson Davis Hwy",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221914016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CLEGG",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.