Individual provider Active NPI

Jessica Kaitlin Lynn Hatfield, MS, OTR/L

  • Occupational Therapist
  • Owensboro, KY
National Provider Identifier
1679902878
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
132289 Issued in KY
Practice address
2605 New Hartford Rd
Owensboro, KY 42303-1316
Phone
(270) 688-8449
Fax
(270) 240-4840
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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 132289 KY Primary

Addresses

Primary practice location

2605 New Hartford Rd
Owensboro, KY 42303-1316

Mailing address

2605 New Hartford Rd
Owensboro, KY 42303-1316
Phone (270) 688-8449

Other identifiers 1

IdentifierTypeStateIssuer
7100270910MedicaidKY

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
132289KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theratree, LLC. Occupational Therapist CurrentSince Aug 30, 2020 Accepting new patients

Locations

110 N Water St
#B
Henderson, KY 42420
Phone (270) 688-8449

1003 Burlew Blvd
Ste C
Owensboro, KY 42303
Phone (270) 683-3073

2605 New Hartford Rd
Owensboro, KY 42303
Phone (270) 688-8449

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1679902878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031316",
            "telephone_number": "270-688-8449",
            "fax_number": "270-240-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031316",
            "telephone_number": "270-688-8449",
            "fax_number": "270-240-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "JESSICA",
        "middle_name": "KAITLIN LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "132289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100270910",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.