Active NPI
Jessica Lynne Spencer, MS, OTR/L
- Occupational Therapist
- San Francisco, CA
National Provider Identifier
1861074890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22144
- Practice address
- 400 Parnassus Ave # a-68
San Francisco, CA 94143-2202 - Phone
- (415) 353-1984
- NPI assigned
- Apr 28, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 246921 | KY | |
| Occupational Therapist | 225X00000X | 22144 | CA | Primary |
Addresses
Primary practice location
400 Parnassus Ave # a-68
San Francisco, CA 94143-2202
Mailing address
6880 Buckingham Blvd
Berkeley, CA 94705-1709
Phone (859) 750-9420
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jlfr226@g.Ky.edu | Health Information Exchange (HIE) | University of Kentucky Hospital |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246921 | KY | MD | Occupational Therapist |
Interoperability endpoints
- jlfr226@g.ky.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1861074890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6880 BUCKINGHAM BLVD",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051709",
"telephone_number": "859-750-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PARNASSUS AVE # A-68",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432202",
"telephone_number": "415-353-1984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "JESSICA",
"middle_name": "LYNNE",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "246921",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "22144",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jlfr226@g.Ky.edu",
"affiliation": "Y",
"endpointDescription": "Email",
"affiliationName": "University of Kentucky Hospital",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "400 Parnassus Ave # A-68",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941432202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.