Individual provider Active NPI

Jocelyn Gwyneth Hesse, MS OT

  • Specialist
  • Waltham, MA
National Provider Identifier
1912189887
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3601 Issued in MA
Practice address
11 Huntington St
Waltham, MA 02452-6415
Phone
(781) 367-8562
NPI assigned
Dec 3, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3601 MA Primary

Addresses

Primary practice location

11 Huntington St
Waltham, MA 02452-6415

Mailing address

11 Huntington St
Waltham, MA 02452-6415
Phone (781) 367-8562

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

LicenseStateTypeSpecialty
3601MAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1912189887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HUNTINGTON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024526415",
            "telephone_number": "781-367-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HUNTINGTON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024526415",
            "telephone_number": "781-367-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSE",
        "first_name": "JOCELYN",
        "middle_name": "GWYNETH",
        "name_prefix": "Ms.",
        "credential": "MS OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "3601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.