Active NPI
Rebekah Hope Jackson, M.S., OTR/L
- Occupational Therapist
- Oakland, CA
National Provider Identifier
1427385269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10290
- Practice address
- 1027 Park Lane
Oakland, CA 94610 - Phone
- (415) 748-8052
- NPI assigned
- Nov 16, 2009
- Last updated
- Feb 27, 2014
- 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 | 10290 | CA | Primary |
Addresses
Primary practice location
1027 Park Lane
Oakland, CA 94610
Mailing address
1027 Park Lane
Oakland, CA 94610
Phone (415) 748-8052
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10290 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1427385269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 PARK LANE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94610",
"telephone_number": "415-748-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 PARK LANE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94610",
"telephone_number": "415-748-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "REBEKAH",
"middle_name": "HOPE",
"name_prefix": "Mrs.",
"credential": "M.S., OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-16",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "10290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.