Active NPI
Deb L Jones, OTR L
- Occupational Therapist
- Taos, NM
National Provider Identifier
1346246899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 888
- Practice address
- 1337 Gusdorf Rd
Ste G
Taos, NM 87571-6297 - Phone
- (575) 758-4337
- Fax
- (575) 751-1890
- NPI assigned
- Jun 21, 2005
- 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 | 888 | NM | Primary |
Addresses
Primary practice location
1337 Gusdorf Rd
Ste G
Taos, NM 87571-6297
Mailing address
1337 Gusdorf Rd
Ste G
Taos, NM 87571-6297
Phone (575) 758-4337
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10015013 | Other | NM | LOVELACE HEALTH PLAN PROV |
| 0368860 | Other | NM | CIGNA PROV # |
| NM00N647 | Other | NM | BLUECROSS PROV # |
| 201079915 | Other | NM | PRESBYTERIAN PROVIDER # |
| 68973276 | Medicaid | NM | |
| B4412 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 888 | NM | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364169600000",
"number": "1346246899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1337 GUSDORF RD",
"address_2": "STE G",
"city": "TAOS",
"state": "NM",
"postal_code": "875716297",
"telephone_number": "575-758-4337",
"fax_number": "575-751-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1337 GUSDORF RD",
"address_2": "STE G",
"city": "TAOS",
"state": "NM",
"postal_code": "875716297",
"telephone_number": "575-758-4337",
"fax_number": "575-751-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DEB",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "OTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2013-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTH PLAN PROV",
"identifier": "10015013",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROV #",
"identifier": "0368860",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS PROV #",
"identifier": "NM00N647",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN PROVIDER #",
"identifier": "201079915",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68973276",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B4412",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.