Active NPI
Jennifer Elizabeth Kump, OTR
- Occupational Therapist
- Farmington, NM
National Provider Identifier
1649801515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT4252
- Practice address
- 806 W Maple St
Farmington, NM 87401-5631 - Phone
- (505) 325-2910
- NPI assigned
- Jan 30, 2020
- Last updated
- Jan 30, 2020
- 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 | OT4252 | NM | Primary |
Addresses
Primary practice location
806 W Maple St
Farmington, NM 87401-5631
Mailing address
7530 Nyesville Rd
Chambersburg, PA 17202-7319
Phone (717) 372-0280
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 |
|---|---|---|---|
| OT4252 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1649801515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7530 NYESVILLE RD",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172027319",
"telephone_number": "717-372-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 W MAPLE ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015631",
"telephone_number": "505-325-2910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMP",
"first_name": "JENNIFER",
"middle_name": "ELIZABETH",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "OT4252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.