Active NPI
Shakitta Jones
- Occupational Therapy Assistant
- Clermont, FL
National Provider Identifier
1821631292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 17401
- Practice address
- 10879 Lantana CRST
Clermont, FL 34711-8990 - Phone
- (321) 276-5054
- NPI assigned
- Oct 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 17401 | FL | Primary |
Addresses
Primary practice location
10879 Lantana CRST
Clermont, FL 34711-8990
Mailing address
2311 Griffin Rd Apt B7
Leesburg, FL 34748-3348
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 |
|---|---|---|---|
| 17401 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1821631292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 GRIFFIN RD APT B7",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347483348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10879 LANTANA CRST",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347118990",
"telephone_number": "321-276-5054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SHAKITTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-17",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "17401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.