Individual provider Active NPI

Jennifer L Dowd, COTA/L

  • Early Intervention Provider Agency
  • Taunton, MA
National Provider Identifier
1780010132
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
3643 Issued in MA
Practice address
68 Allison Ave
Taunton, MA 02780-6958
Phone
(508) 880-0202
Fax
(508) 880-2425
NPI assigned
Sep 17, 2013
Last updated
Sep 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 3643 MA Primary

Addresses

Primary practice location

68 Allison Ave
Taunton, MA 02780-6958

Mailing address

141 Farnum Pike
Smithfield, RI 02917-3415
Phone (401) 230-8680

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

LicenseStateTypeSpecialty
3643MAMDEarly Intervention Provider Agency

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1780010132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 FARNUM PIKE",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029173415",
            "telephone_number": "401-230-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 ALLISON AVE",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027806958",
            "telephone_number": "508-880-0202",
            "fax_number": "508-880-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWD",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MA",
            "license": "3643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.