Individual provider Active NPI

Heidi Claire Lorren-Jackson, OTR

  • Hand Occupational Therapist
  • Loma Linda, CA
National Provider Identifier
1346751252
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Practice address
24519 Redlands Blvd Ste B
Loma Linda, CA 92354-4000
Phone
(909) 799-0078
Fax
(909) 799-0078
NPI assigned
Oct 18, 2017
Last updated
Oct 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X NU Primary

Addresses

Primary practice location

24519 Redlands Blvd Ste B
Loma Linda, CA 92354-4000

Mailing address

24519 Redlands Blvd Ste B
Loma Linda, CA 92354-4000
Phone (909) 799-0078

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

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1346751252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24519 REDLANDS BLVD STE B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544000",
            "telephone_number": "909-799-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24519 REDLANDS BLVD STE B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544000",
            "telephone_number": "909-799-0078",
            "fax_number": "909-799-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORREN-JACKSON",
        "first_name": "HEIDI",
        "middle_name": "CLAIRE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.