Active NPI
Jamie Faith Derby, OTA
- Occupational Therapy Assistant
- Walton, KY
National Provider Identifier
1457614596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 768 Richwood Rd
Walton, KY 41094-9517 - Phone
- (859) 991-0358
- NPI assigned
- Jun 22, 2012
- 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 Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
768 Richwood Rd
Walton, KY 41094-9517
Mailing address
768 Richwood Rd
Walton, KY 41094-9517
Phone (859) 991-0358
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1457614596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "768 RICHWOOD RD",
"city": "WALTON",
"state": "KY",
"postal_code": "410949517",
"telephone_number": "859-991-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "768 RICHWOOD RD",
"city": "WALTON",
"state": "KY",
"postal_code": "410949517",
"telephone_number": "859-991-0358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERBY",
"first_name": "JAMIE",
"middle_name": "FAITH",
"name_prefix": "Mrs.",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walton, KY
- Amanda Cavins
- Cincinnati Healthcare Group PSC, Dba Patient First Physicians Group
- Tiffany Latasha Marie Cromer
- Allen Dale Daniels, D.D.S.
- Dental Health Professionals of Kentucky, P.S.C.
- Anne T Donovan, M.D.
- Lauren Nicole Doolittle, CNP-C
- Jacquelyn Dorris, RBT
- Brittany Downing, PHARMD
- Shayla Sheree Dressman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.