Active NPI
Jemerie Shawn Hopkins
- Occupational Therapist
- Rockford, MI
National Provider Identifier
1669587663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2867 Riverwoods Dr NE
Rockford, MI 49341-9294 - Phone
- (414) 305-1635
- NPI assigned
- Aug 20, 2006
- 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 | Primary |
Addresses
Primary practice location
2867 Riverwoods Dr NE
Rockford, MI 49341-9294
Mailing address
2867 Riverwoods Dr NE
Rockford, MI 49341-9294
Phone (414) 305-1635
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1930808 | Other | MI | MI OT LICENSE |
| 056007129 | Other | IL | LICENSE # |
Other names 1
- Jemerie Shawn Husz
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1669587663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2867 RIVERWOODS DR NE",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493419294",
"telephone_number": "414-305-1635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2867 RIVERWOODS DR NE",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493419294",
"telephone_number": "414-305-1635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPKINS",
"first_name": "JEMERIE",
"middle_name": "SHAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI OT LICENSE",
"identifier": "1930808",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "056007129",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEMERIE",
"last_name": "HUSZ",
"middle_name": "SHAWN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rockford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.