Active NPI
Jacqueline Dee Probst, COTA/L
- Occupational Therapy Assistant
- Beatrice, NE
National Provider Identifier
1811187701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 35
- Practice address
- 1110 N 10TH St
Box 278
Beatrice, NE 68310-2039 - Phone
- (402) 223-7309
- NPI assigned
- Jul 27, 2007
- 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 | 35 | NE | Primary |
Addresses
Primary practice location
1110 N 10TH St
Box 278
Beatrice, NE 68310-2039
Mailing address
1110 N 10TH St
Box 278
Beatrice, NE 68310-2039
Phone (402) 223-7309
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beatrice Community Hospital & Health Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Beatrice, NE
- NPI 1356522726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185494400000",
"number": "1811187701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 N 10TH ST",
"address_2": "BOX 278",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683102039",
"telephone_number": "402-223-7309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 N 10TH ST",
"address_2": "BOX 278",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683102039",
"telephone_number": "402-223-7309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROBST",
"first_name": "JACQUELINE",
"middle_name": "DEE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-27",
"last_updated": "2007-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NE",
"license": "35",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beatrice, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.