Active NPI
Jana White
- Occupational Therapist
- Vancouver, WA
National Provider Identifier
1669975546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC60442330
- Practice address
- 2901 Falk Rd
Vancouver, WA 98661-6392 - Phone
- (971) 645-3774
- NPI assigned
- Mar 16, 2018
- 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 | OC60442330 | WA | Primary |
Addresses
Primary practice location
2901 Falk Rd
Vancouver, WA 98661-6392
Mailing address
18211 SE 24TH Way
Vancouver, WA 98683-1838
Phone (971) 645-3774
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 |
|---|---|---|---|
| OC60442330 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521158400000",
"number": "1669975546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18211 SE 24TH WAY",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831838",
"telephone_number": "971-645-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 FALK RD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986616392",
"telephone_number": "971-645-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2018-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OC60442330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.