Individual provider Active NPI

Jennifer L Nowell, OTR

  • Occupational Therapist
  • Gadsden, AL
National Provider Identifier
1659652741
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1926 Issued in AL
Practice address
1514 Owens St
Gadsden, AL 35904-4938
Phone
(256) 543-1030
Fax
(256) 439-2830
NPI assigned
Sep 1, 2011
Last updated
Sep 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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 1926 AL Primary

Addresses

Primary practice location

1514 Owens St
Gadsden, AL 35904-4938

Mailing address

1514 Owens St
Gadsden, AL 35904-4938
Phone (256) 543-1030

Other identifiers 1

IdentifierTypeStateIssuer
1926OtherALALABAMA STATE BOARD OF OCCUPATIONAL THERAPY

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

LicenseStateTypeSpecialty
1926ALMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Systems Inc Past Accepting new patients
Occupational Therapy Services Unlimited LLC Occupational Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1659652741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 OWENS ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359044938",
            "telephone_number": "256-543-1030",
            "fax_number": "256-439-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 OWENS ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359044938",
            "telephone_number": "256-543-1030",
            "fax_number": "256-439-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWELL",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "1926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA STATE BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "1926",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.