Jenna Marie Maas

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

1904 Goldeneye Dr
Holland, MI 49424-6080

Phone

(616) 843-7052

NPI assigned

Jul 23, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1649008442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 S SEMORAN BLVD STE 108",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 GOLDENEYE DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494246080",
            "telephone_number": "616-843-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAS",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lux Aeterna Holistic Therapy
• Gregory Todd Lynas, D.C
• M. Adam Kremer, M.D., PLC
• Flora Yan Ma
• Edward Jerome Maas, MD
• Meagan Maas, MD, MPH
• Paula Kristine Maas, M.D.
• Macatawa Anesthesia PC
• Macatawa Counseling LLC
• Macatawa Surgical Associates PC

• Pediatric Occupational Therapist in Holland, MI
• Providers in Holland, MI by specialty
• Pediatric Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.