Active NPI
Holly Jenski Viaches
- Occupational Therapist
- Jackson, MI
National Provider Identifier
1669083721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201008791
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 205-4702
- NPI assigned
- Aug 12, 2020
- Last updated
- Aug 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 5201008791 | MI | Primary |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
324 Lockwood St
Jackson, MI 49203-2227
Phone (517) 206-0901
Other practice location 1
151 2nd St
Spring Arbor, MI 49283-9647
Phone (517) 750-1900
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 |
|---|---|---|---|
| 5201008791 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1669083721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 LOCKWOOD ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492032227",
"telephone_number": "517-206-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-205-4702"
}
],
"practiceLocations": [
{
"address_1": "151 2nd St",
"address_purpose": "LOCATION",
"city": "Spring Arbor",
"state": "MI",
"postal_code": "492839647",
"country_code": "US",
"telephone_number": "517-750-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIACHES",
"first_name": "HOLLY",
"middle_name": "JENSKI",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201008791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
- Eric Paul Verdin, PTA
- Umesh Verma, MD
- Sydney K Vernier-Fink, MS, LPC, CAADC
- Versatile Hearing Service (Beltone Hearing Aid Center)
- Versatile Hearing Services (Beltone Hearing Aid Center)
- Betsy Lynn Vickers, LMSW
- Victorian Villa Assisted Living LLC
- Victory Clinical Services
- Victory Clinical Services III LLC
- Stephanie Videan, CPNP-PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.