Active NPI
Cheryl C Jessie, MS, OTR/L
- Occupational Therapist
- Bennington, NH
National Provider Identifier
1376714923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0682
- Practice address
- 556 N Bennington Rd
Bennington, NH 03442-4505 - Phone
- (603) 588-2219
- NPI assigned
- Mar 21, 2008
- 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 | 0682 | NH | Primary |
Addresses
Primary practice location
556 N Bennington Rd
Bennington, NH 03442-4505
Mailing address
556 N. Bennington Rd.
Bennington, NH 03442
Phone (603) 588-2219
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 |
|---|---|---|---|
| 0682 | NH | MD | Addiction (Substance Use Disorder) Counselor |
| 682 | NH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1376714923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "556 N. BENNINGTON RD.",
"city": "BENNINGTON",
"state": "NH",
"postal_code": "03442",
"telephone_number": "603-588-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "556 N BENNINGTON RD",
"city": "BENNINGTON",
"state": "NH",
"postal_code": "034424505",
"telephone_number": "603-588-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESSIE",
"first_name": "CHERYL",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-21",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "0682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bennington, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.