Active NPI
Jennifer Williams, OT
- Occupational Therapist
- Lawrence, KS
National Provider Identifier
1417040601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-01929
- Practice address
- 2200 Harvard Rd
Ste 101
Lawrence, KS 66049-2611 - Phone
- (785) 842-0656
- NPI assigned
- Oct 2, 2006
- 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 | 17-01929 | KS | Primary |
Addresses
Primary practice location
2200 Harvard Rd
Ste 101
Lawrence, KS 66049-2611
Mailing address
2200 Harvard Rd
Ste 101
Lawrence, KS 66049-2611
Phone (785) 842-0656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100458740A | Medicaid | KS |
Other names 1
- Jennifer Woerner
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 |
|---|---|---|---|
| 17-01929 | KS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417040601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 HARVARD RD",
"address_2": "STE 101",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660492611",
"telephone_number": "785-842-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 HARVARD RD",
"address_2": "STE 101",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660492611",
"telephone_number": "785-842-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JENNIFER",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-01929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100458740A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WOERNER",
"credential": "OT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.