Jaclyn Amber Danna, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

375 SW Egret LNDG
Port Saint Lucie, FL 34953-8225

Phone

(772) 342-1847

NPI assigned

Oct 9, 2018

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

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1699240358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 SW EGRET LNDG",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349538225",
            "telephone_number": "772-342-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 SW EGRET LNDG",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349538225",
            "telephone_number": "772-342-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNA",
        "first_name": "JACLYN",
        "middle_name": "AMBER",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OTA16773",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia McEnroe Damato, RN
• Daniel Durante Jr PLLC
• Daniel J. Zaluzec Mdpa
• Nikiesha Daniels
• Rick Tan Danlag, PHARMD
• Mura Daraban
• Darleen Unique Provider Services,LLC
• Daren Davidson
• Angela Michelle Davis
• Danielle Ann Davis, APRN

• Occupational Therapy Assistant in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Occupational Therapy Assistant in Florida

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

Verify at the official NPI Registry.