Artimease Jackson, MBA,OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

000961 Issued in GA

Practice address

504 Crestwood CT
Lithonia, GA 30058-5996

Phone

(770) 498-4095

NPI assigned

Mar 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Artimease Jackson Washington Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518099191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CRESTWOOD CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585996",
            "telephone_number": "770-498-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 CRESTWOOD CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585996",
            "telephone_number": "770-498-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ARTIMEASE",
        "name_prefix": "Ms.",
        "credential": "MBA,OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "000961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARTIMEASE",
            "last_name": "WASHINGTON",
            "middle_name": "JACKSON",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vickie J Ivey, LPN
• Miranda Jacko
• Rochell V Jackson-Frazier, REGISTERED NURSE
• Ajanay Toni Jackson
• Angela C Jackson, RD, LD
• Ashley Janay Jackson, LMSW
• Kecia Strawter Jackson, MD
• Kimberly L Jackson, LSW, MSW
• Marsha Jackson
• Reagen Jackson

• Pediatric Occupational Therapist in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.