Lindsey S Jacks, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1203 Issued in WY

Practice address

1200 E 21St St
Cheyenne, WY 82001-3951

Phone

(918) 634-7986

NPI assigned

Sep 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lindsey S Winesburg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1841849759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PONDEROSA RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820092502",
            "telephone_number": "307-634-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E 21ST ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013951",
            "telephone_number": "918-634-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKS",
        "first_name": "LINDSEY",
        "middle_name": "S",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WY",
            "license": "1203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "WINESBURG",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Larissa Elise Irwin
• Sarah Elizabeth Isaack, MS, LPC
• Ann Iype
• Christopher Paul Izzo, PHARM.D
• J. Sloan Hales M.D.
• David Jackson Jr.
• Heather Vance Jackson, M.S.W.
• Katelynn Jackson
• Alec Jay Jacobs, DPT
• Alice M Jacobson, PA-C

• Occupational Therapy Assistant in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Occupational Therapy Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.