Individual provider Active NPI

Jennifer Suzanne Walden, OTR/L

  • Occupational Therapist
  • Overland Park, KS
National Provider Identifier
1619633260
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
10231 Granada LN
Overland Park, KS 66207-3660
Phone
(316) 258-9118
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

10231 Granada LN
Overland Park, KS 66207-3660

Mailing address

10231 Granada LN
Overland Park, KS 66207-3660

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Jwalden1@brookdale.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211110001617 KS Practitioner - Occupational Therapist in Private Practice 4284023441 Reassigns benefits to 2 organizations
I20211110001808 MO Practitioner - Occupational Therapist in Private Practice 4284023441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Wellness Kansas City, LLCGroup PAC ID 9830504836, shared by 6 NPIs, 152 clinicians

Practice addresses (Care Compare)

4100 W 85TH St
Prairie Village, KS 66206-2166
Phone (913) 412-3745

9101 N Ambassador Dr
Kansas City, MO 64154-7295
Phone (816) 631-0847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Apr 13, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC Occupational Therapist CurrentSince Nov 9, 2021 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Nov 9, 2021 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Apr 13, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Nov 9, 2021 Accepting new patients

Locations

2700 Somerset Dr
Prairie Village, KS 66206
Phone (913) 276-0901

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1619633260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10231 GRANADA LN",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662073660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10231 GRANADA LN",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662073660",
            "telephone_number": "316-258-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "JENNIFER",
        "middle_name": "SUZANNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jwalden1@brookdale.com",
            "affiliation": "N",
            "address_1": "10231 Granada Ln",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662073660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.