Active NPI
Jena Shamp Brown
- Occupational Therapist
- Covington, LA
National Provider Identifier
1649734856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 311382
- Practice address
- 201 Holiday Blvd Ste 315
Covington, LA 70433-6115 - Phone
- (985) 898-2999
- Fax
- (985) 898-2289
- NPI assigned
- Jan 22, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 311382 | LA | Primary |
Addresses
Primary practice location
201 Holiday Blvd Ste 315
Covington, LA 70433-6115
Mailing address
201 Holiday Blvd Ste 315
Covington, LA 70433-6115
Phone (985) 898-2999
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 |
|---|---|---|---|
| 311382 | LA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy and Learning Center of the Northshore | 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.
-
- Pediatric Occupational Therapist
- Covington, LA
- NPI 1851687198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1649734856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 HOLIDAY BLVD STE 315",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704336115",
"telephone_number": "985-898-2999",
"fax_number": "985-898-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HOLIDAY BLVD STE 315",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704336115",
"telephone_number": "985-898-2999",
"fax_number": "985-898-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JENA",
"middle_name": "SHAMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "LA",
"license": "311382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.