Active NPI
Jennifer Stuart, COTA/L
- Contractor
- St. Bernard, OH
National Provider Identifier
1558740233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- OTA-3101
- Practice address
- 105 Wasginton Ave.
St. Bernard, OH 45217 - Phone
- (513) 482-7121
- NPI assigned
- May 27, 2015
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | OTA-3101 | OH | Primary |
Addresses
Primary practice location
105 Wasginton Ave.
St. Bernard, OH 45217
Mailing address
105 Washington Ave
Cincinnati, OH 45217-1317
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA-3101 | OH | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1558740233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WASHINGTON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452171317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WASGINTON AVE.",
"city": "ST. BERNARD",
"state": "OH",
"postal_code": "45217",
"telephone_number": "513-482-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART",
"first_name": "JENNIFER",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": "OTA-3101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Bernard, OH
- Kingdom Path Home Care LLC
- Mary Elizabeth Mehran
- Chelsea Marie Rose, MS, CF-SLP
- James Henry Smith
- St. Bernard-Elmwood Place City Schools
- Village of St Bernard
- Winton Hills Medical & Health Center
- Winton Hills Medical & Health Center
- Winton Hills Medical & Health Center
- Winton Hills Medical & Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.