Jenessa Renea Blew

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

18-00998 Issued in KS

Practice address

1701 E 23Rd Ave
Hutchinson, KS 67502-1105

Phone

(620) 665-2000

NPI assigned

Feb 14, 2019

Last updated

Feb 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1689130676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 W PLEASANT VALLEY RD",
            "city": "PARTRIDGE",
            "state": "KS",
            "postal_code": "675669041",
            "telephone_number": "620-899-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021105",
            "telephone_number": "620-665-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEW",
        "first_name": "JENESSA",
        "middle_name": "RENEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "18-00998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS BOARD OF HEALING ARTS",
            "identifier": "18-00998",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Bishop
• Nataliya Biskup
• Bradley Alan Blackburn, PHARMD
• Bladon Dialysis LLC (Dialysis Center of Hutchinson)
• Shiloh Blasdel
• Angela R Boice, PMHNP-BC
• Clinton Boor, PARM D
• James William Bothwell, D.C.
• Samuel Bourn, MD
• Adam Bowen, D.D.S.

• Occupational Therapy Assistant in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Occupational Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.