Individual provider Active NPI

Lauren Hall, COTA

  • Occupational Therapy Assistant
  • Jackson, TN
National Provider Identifier
1831569375
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2316 Issued in TN
Practice address
118 Glass St
Jackson, TN 38301-4625
Phone
(731) 424-2951
NPI assigned
Sep 27, 2015
Sex
Female
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2316 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

118 Glass St
Jackson, TN 38301-4625

Mailing address

3024 Old Medina Rd
Jackson, TN 38305-9465
Phone (256) 412-4302

Other practice location 1

1350 14th Ave SE
Decatur, AL 35601-4364
Phone (256) 355-6911

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 16, 2019.

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1831569375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 OLD MEDINA RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383059465",
            "telephone_number": "256-412-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 GLASS ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014625",
            "telephone_number": "731-424-2951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 14th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356014364",
            "country_code": "US",
            "telephone_number": "256-355-6911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-27",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "2316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.