Active NPI
Jessica Carney, COTA
- Pediatric Occupational Therapist
- Independence, MO
National Provider Identifier
1699432310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2021043580
- Practice address
- 14820 E 42ND St S
Independence, MO 64055-4775 - Phone
- (816) 695-1255
- NPI assigned
- Nov 17, 2021
- Last updated
- Nov 17, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2021043580 | MO | Primary |
Addresses
Primary practice location
14820 E 42ND St S
Independence, MO 64055-4775
Mailing address
710 Golf St
Odessa, MO 64076-1468
Phone (816) 565-3158
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 |
|---|---|---|---|
| 2021043580 | MO | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marian Hope | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1699432310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 GOLF ST",
"city": "ODESSA",
"state": "MO",
"postal_code": "640761468",
"telephone_number": "816-565-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14820 E 42ND ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640554775",
"telephone_number": "816-695-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNEY",
"first_name": "JESSICA",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MO",
"license": "2021043580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
- Paul Carlisle Jr., ED.D.
- Annamay D Carlson, DO
- Nathanial James Carlson, DPT
- Carmel Hills Healthcare and Rehabilitation Center, LLC (Carmel Hills Healthcare and Rehabilitation Center)
- Carmel Hills Mo Consulting LLC (Polaris Health & Wellness of Carmel Hills)
- Karmel L Carothers, M.D.
- Laurie Lynn Carpenter, LCSW, LSCSW
- Lauren L Carr, DDS
- Angelique Irene Carroll
- Brandy Louise Carroll, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.