Active NPI
Jenelsie Howell, OTR
- Occupational Therapist
- Ruskin, FL
National Provider Identifier
1902011570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT607
- Practice address
- 2621 Yukon Cliff Drive
Ruskin, FL 33570-6348 - Phone
- (813) 645-5218
- NPI assigned
- May 14, 2007
- 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 | OT607 | FL | Primary |
Addresses
Primary practice location
2621 Yukon Cliff Drive
Ruskin, FL 33570-6348
Mailing address
2621 Yukon Cliff Drive
Ruskin, FL 33570-6348
Phone (813) 645-5218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890130900 | Medicaid | FL |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1902011570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 YUKON CLIFF DRIVE",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335706348",
"telephone_number": "813-645-5218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 YUKON CLIFF DRIVE",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335706348",
"telephone_number": "813-645-5218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWELL",
"first_name": "JENELSIE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890130900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ruskin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.