Jamie Parks, DEVELOPMENTAL SPEC
Individual provider Active NPI Early Intervention Provider Agency · New Marshfield, OH
NPI 1609145473 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1609145473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 1400 Hocking St
New Marshfield, OH 45766-9735 - Phone
- (304) 488-6759
- NPI assigned
- Dec 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seal Rehabilitation Center, Inc. | Early Intervention Provider Agency | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
1400 Hocking St
New Marshfield, OH 45766-9735
Mailing address
PO Box 270
New Marshfield, OH 45766-0270
Phone (304) 488-6759
Other providers in New Marshfield, OH
All providers in New Marshfield, OH · Early Intervention Provider Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.