Tina M Jansen, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

KYA3127 Issued in KY

Practice address

5784 Hazel Dr
Florence, KY 41042-1220

Phone

(859) 743-5204

NPI assigned

Jul 24, 2012

Last updated

Jul 24, 2012By 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 2

Addresses

Other identifiers 2

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": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1700132032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5784 HAZEL DR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421220",
            "telephone_number": "859-743-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5784 HAZEL DR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421220",
            "telephone_number": "859-743-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "TINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "KYA3127",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA-03129",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA/L",
            "identifier": "KYA3127",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA/L",
            "identifier": "03129",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Jackson
• Benjamin K Jacob, PHARMD.
• John B Jacquemin, MD
• Denise Lynn Jagger, LMT
• Lorie Jansen, APRN
• Paul J Janson, MD
• Melanie Jarmon, LPCC
• Candyse Louanne Jeffries, D.M.D.
• Anna Jennings, NP
• Shaun F Jennings, D.O.

• Occupational Therapy Assistant in Florence, KY
• Providers in Florence, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.