Jacqueline Davis, OT-A

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A644 Issued in AR

Practice address

6101 N State Line Ave
Texarkana, TX 75503-5309

Phone

(903) 791-2270

Fax

(903) 792-0816

NPI assigned

Oct 23, 2015

Last updated

Nov 7, 2023By 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 3

Other names 1

• Jacqueline Morelock Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Texarkana Special Education Center, Inc.

  dba Opportunities, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Texarkana, TX
  • NPI 1174676415
  NPD (past)

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1750753208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 N STATE LINE AVE",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035309",
            "telephone_number": "903-791-2270",
            "fax_number": "903-792-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 N STATE LINE AVE",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755035309",
            "telephone_number": "903-791-2270",
            "fax_number": "903-792-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JACQUELINE",
        "credential": "OT-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "211032",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS",
            "identifier": "211032",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE MEDICIAL BOARD",
            "identifier": "OT-A644",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
            "identifier": "278913",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "MORELOCK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Davis Home Care, LLC (Home Helpers/Direct Link)
• Amy Karen Davis, FNP
• Ashley Davis, RD, RDN
• Candace Renee Davis
• Catherine Kayleigh Davis, APRN, FNP-C
• Terry Lee Davis
• Melissa Davison, M.S., LPC
• Zubaer M. Dawlah, M.D.
• Tara C Day-Aleman, M.ED., BCBA
• Kristy Day, APRN

• Occupational Therapy Assistant in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.