Jessica Elizabeth Longenette, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

C2178 Issued in WV

Practice address

1000 Lincoln Dr
South Charleston, WV 25309-2304

Phone

(304) 766-1722

Fax

(304) 766-8991

NPI assigned

Oct 30, 2017

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": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1518479617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 FLETCHER RD APT 6",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255607298",
            "telephone_number": "304-940-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN DR",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253092304",
            "telephone_number": "304-766-1722",
            "fax_number": "304-766-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGENETTE",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C2178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Loftis
• Cassandra Loftis
• Amelia Long
• Michele Lynn Long, APRN, FNP-BC
• Neva McKenzie Long
• Marjorie Longfellow
• Felicia Lopez
• Juan Diego Rodriguez Lopez
• Lisa Lorea
• Kayla Marie Loudin, M.S., CF-SLP

• Occupational Therapy Assistant in South Charleston, WV
• Providers in South Charleston, 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 Oct 30, 2017; 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.