Individual provider Active NPI

Hanna Mariah Jauregui

  • Occupational Therapist
  • Mesa, AZ
National Provider Identifier
1851919070
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
008241 Issued in AZ
Practice address
7231 E Broadway Rd
Mesa, AZ 85208-2030
Phone
(480) 807-4700
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 008241 AZ Primary

Addresses

Primary practice location

7231 E Broadway Rd
Mesa, AZ 85208-2030

Mailing address

4713 E Van Buren St Unit 2025
Phoenix, AZ 85008-0004

Other practice location 1

4415 Rio D'oro St
San Antonio, TX 78233
Phone (210) 653-3132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 E State St
Kennett Square, PA 19348-3109

1335 Stranssner Dr
Brentwood, MO 63144-1872

4713 E Van Buren St
Apt 2025
Phoenix, AZ 85008-0004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008241AZMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1851919070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 E VAN BUREN ST UNIT 2025",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850080004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082030",
            "telephone_number": "480-807-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4415 Rio D'oro St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78233",
            "country_code": "US",
            "telephone_number": "210-653-3132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAUREGUI",
        "first_name": "HANNA",
        "middle_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "008241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.