Jennifer M Monroe, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202002071 Issued in MI

Practice address

100 Powell Dr
Dundee, MI 48131-8644

Phone

(517) 266-1481

NPI assigned

Jan 20, 2021

Last updated

Jan 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1871183285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SOMERSET LN",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481823019",
            "telephone_number": "419-213-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 POWELL DR",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481318644",
            "telephone_number": "517-266-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA001628",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202002071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Memorial Hospital Corporation
• Chiara Lee Messer, RN
• Zachary Michalkiewicz
• Michigan Urgent Care
• Monroe Health Ventures, Inc (Mercy Memorial Westside Pharmacy)
• Tracy Rene Mueller, LPTA
• Myeyedr Optometry of Michigan, LLC (MyEyeDr.)
• Carolyn Jean Needham, FNP-C
• Lynne M Nidek, MS PT
• Sherry Nolan, RPH

• Occupational Therapy Assistant in Dundee, MI
• Providers in Dundee, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.