Individual provider Active NPI

Jasmine Marie Eddins, OTRL

  • Occupational Therapist
  • Monroe, MI
National Provider Identifier
1386095966
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201009570 Issued in MI
Practice address
700 Stewart Rd
Monroe, MI 48162-5304
Phone
(734) 240-1820
NPI assigned
Jun 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5202007517 MI
Occupational Therapist 225X00000X 5201009570 MI Primary

Addresses

Primary practice location

700 Stewart Rd
Monroe, MI 48162-5304

Mailing address

33551 Pondview Cir
Livonia, MI 48152-1470
Phone (248) 242-0409

Other practice location 1

210 Town Center Dr
Troy, MI 48084-1774
Phone (248) 643-8900

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
5202007517MIMDOccupational Therapy Assistant
5201009570MIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1466812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1386095966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33551 PONDVIEW CIR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521470",
            "telephone_number": "248-242-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 STEWART RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625304",
            "telephone_number": "734-240-1820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480841774",
            "country_code": "US",
            "telephone_number": "248-643-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDDINS",
        "first_name": "JASMINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-25",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202007517",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.