Active NPI
Jennifer Denise McBride, OT
- Occupational Therapist
- Bolivar, TN
National Provider Identifier
1457713133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 700 Nuckolls Rd
Bolivar, TN 38008-1531 - Phone
- (731) 658-4707
- NPI assigned
- Mar 22, 2016
- 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 | TN | Primary |
Addresses
Primary practice location
700 Nuckolls Rd
Bolivar, TN 38008-1531
Mailing address
101 Hines Blvd Apt D
Bolivar, TN 38008-1155
Phone (731) 609-7888
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": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1457713133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HINES BLVD APT D",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "380081155",
"telephone_number": "731-609-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NUCKOLLS RD",
"city": "BOLIVAR",
"state": "TN",
"postal_code": "380081531",
"telephone_number": "731-658-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "JENNIFER",
"middle_name": "DENISE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolivar, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.