Jennifer Nichole Dennison, COTA/L

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OTP-OTA-LIC4075 Issued in MT

Practice address

12400 High Bluff Dr Ste 100
San Diego, CA 92130-3077

Phone

(866) 480-3874

NPI assigned

Apr 7, 2016

Last updated

Apr 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1336503150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 HIGH BLUFF DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 HIGH BLUFF DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303077",
            "telephone_number": "866-480-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "JENNIFER",
        "middle_name": "NICHOLE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "OTP-OTA-LIC4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Dennis
• Julie A Dennis, MFT
• Laura Elizabeth Dennis, DVM
• Travis Lee Dennis, PT
• Jared Dennison, RCP
• Destiny Michelle Denny-Ellis
• Charles Richard Denny, RN
• Joshua Lee Denny, LVN
• Ruchira S Densert, MD
• Veronica Densey

• Skilled Nursing Facility in San Diego, CA
• Providers in San Diego, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.