Active NPI
Jeana Haislop
- Occupational Therapy Assistant
- Oak Hill, OH
National Provider Identifier
1851799969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA01728
- Practice address
- 104 W Cross St
Oak Hill, OH 45656-1049 - Phone
- (740) 645-0322
- NPI assigned
- Dec 5, 2014
- Last updated
- Dec 5, 2014
- 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 | OTA01728 | OH | Primary |
Addresses
Primary practice location
104 W Cross St
Oak Hill, OH 45656-1049
Mailing address
104 W Cross St
Oak Hill, OH 45656-1049
Phone (740) 645-0322
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 |
|---|---|---|---|
| OTA01728 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1851799969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W CROSS ST",
"city": "OAK HILL",
"state": "OH",
"postal_code": "456561049",
"telephone_number": "740-645-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W CROSS ST",
"city": "OAK HILL",
"state": "OH",
"postal_code": "456561049",
"telephone_number": "740-645-0322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAISLOP",
"first_name": "JEANA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-05",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "OTA01728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Hill, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.