Jennifer Joan Wilson

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

C2098 Issued in WV

Practice address

345 Pocahontas TRL
White Sulphur Springs, WV 24986-9793

Phone

(304) 536-4661

NPI assigned

Mar 23, 2020

Last updated

Mar 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1427685262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BROKEN STAR ACRES RD",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019664",
            "telephone_number": "304-894-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 POCAHONTAS TRL",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249869793",
            "telephone_number": "304-536-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "middle_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C2098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Sulphur Springs EMS (White Sulphur Springs Rescue Squad)
• Bethany Marie White
• Deborah White
• Jessie Ford Whited
• Lynn R Wilcher, OT
• Chasity Louise Wolford
• Carla Mae Wright

• Occupational Therapy Assistant in White Sulphur Springs, WV
• Providers in White Sulphur Springs, WV by specialty
• Occupational Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.