Jessica Edwards, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4969 Issued in TN

Practice address

2435 Jacksboro Pike
La Follette, TN 37766-2910

Phone

(423) 566-8283

Fax

(423) 563-5873

NPI assigned

Jan 10, 2019

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mission Hope Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Maynardville, TN
  • NPI 1013553304

  Occupational Therapist

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2019.

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1508339730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 JACKSBORO PIKE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662910",
            "telephone_number": "423-566-8283",
            "fax_number": "423-563-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 JACKSBORO PIKE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662910",
            "telephone_number": "423-566-8283",
            "fax_number": "423-563-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JESSICA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "4969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel W Durham
• East Tennessee Children'S Primary Care Center, Inc.
• Eastlake Medical, PLLC
• Hannah Echols, FNP-C
• Greg Duane Edwards, PHARMD
• Elie Mansour, MD, PC
• Christina Sampieri Elkins
• Elaine Hitch Ervin, DPT
• Bill R Fannon Jr., DPH
• James C Farris, M.D.

• All providers in La Follette, TN
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.