Active NPI
Jensen Nicole Allen, MS, OTR/L
- Occupational Therapist
- Meridian, ID
National Provider Identifier
1760197271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-2679
- Practice address
- 520 S Eagle Rd
Meridian, ID 83642-6351 - Phone
- (714) 293-1662
- NPI assigned
- Jan 18, 2023
- Last updated
- Jan 18, 2023
- 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 Therapist | 225X00000X | OT-2679 | ID | Primary |
Addresses
Primary practice location
520 S Eagle Rd
Meridian, ID 83642-6351
Mailing address
2594 Flanders CT
Brea, CA 92821-4666
Phone (714) 293-1662
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-2679 | ID | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1760197271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2594 FLANDERS CT",
"city": "BREA",
"state": "CA",
"postal_code": "928214666",
"telephone_number": "714-293-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S EAGLE RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426351",
"telephone_number": "714-293-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JENSEN",
"middle_name": "NICOLE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-2679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
- David Allen, CRNA
- Erica Nicole Allen, APRN-CNP
- Ginger A. Allen, MD
- Gray Allen, PHARMD
- Hallie Jenee Allen, LCP
- Laura B Allen, PA-C
- Russell C Allen, DC
- Alliance Healthcare Services Inc
- Alliance Medical Group, LLC (Primary Health Medical Group)
- Alliance Medical Group, LLC (Primary Health Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.