Active NPI
Andrea Lauren Jacobson, OTR/L
- Occupational Therapist
- Asheville, NC
National Provider Identifier
1881090165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12235
- Practice address
- 77 Central Ave Ste E
Asheville, NC 28801-2451 - Phone
- (828) 277-1315
- NPI assigned
- Nov 13, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12235 | NC | Primary |
Addresses
Primary practice location
77 Central Ave Ste E
Asheville, NC 28801-2451
Mailing address
PO Box 802
Asheville, NC 28802-0802
Phone (828) 277-1315
Other practice location 1
87 Mills Pl
Asheville, NC 28804-1217
Phone (720) 833-8016
Other practice location 2
6 Roberts Rd Ste 105
Asheville, NC 28803-8631
Phone (828) 277-1315
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 |
|---|---|---|---|
| 12235 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| F.I.R.S.T. | Current | Accepting new patients |
Locations
77 Central Ave
Ste E
Asheville, NC 28801
Phone (828) 277-1315
6 Roberts Rd
Ste 105
Asheville, NC 28803
Phone (828) 274-1041
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Asheville, NC
- NPI 1710116942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1881090165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 802",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288020802",
"telephone_number": "828-277-1315",
"fax_number": "828-277-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 CENTRAL AVE STE E",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288012451",
"telephone_number": "828-277-1315"
}
],
"practiceLocations": [
{
"address_1": "87 Mills Pl",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288041217",
"country_code": "US",
"telephone_number": "720-833-8016",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Roberts Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288038631",
"country_code": "US",
"telephone_number": "828-277-1315",
"fax_number": "828-277-1321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBSON",
"first_name": "ANDREA",
"middle_name": "LAUREN",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-13",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "12235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.