Active NPI
Quiana Starlet Jones, COTA/L
- Occupational Therapy Assistant
- Mesa, AZ
National Provider Identifier
1710384847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5839
- Practice address
- 960 W Southern Ave
D2013
Mesa, AZ 85210-4935 - Phone
- (313) 469-2035
- NPI assigned
- Dec 4, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5839 | AZ | Primary |
Addresses
Primary practice location
960 W Southern Ave
D2013
Mesa, AZ 85210-4935
Mailing address
960 W Southern Ave
D2013
Mesa, AZ 85210-4935
Phone (313) 469-2035
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 |
|---|---|---|---|
| 5839 | AZ | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1710384847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 W SOUTHERN AVE",
"address_2": "D2013",
"city": "MESA",
"state": "AZ",
"postal_code": "852104935",
"telephone_number": "313-469-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 W SOUTHERN AVE",
"address_2": "D2013",
"city": "MESA",
"state": "AZ",
"postal_code": "852104935",
"telephone_number": "313-469-2035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "QUIANA",
"middle_name": "STARLET",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-04",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "5839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.