Active NPI
Tanya Jackson
- Occupational Therapy Assistant
- Salina, KS
National Provider Identifier
1912504101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 18-01248
- Practice address
- 2936 Georgia Ave
Salina, KS 67401-7948 - Phone
- (785) 825-6954
- NPI assigned
- Oct 1, 2020
- Last updated
- Oct 1, 2020
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 18-01248 | KS | Primary |
Addresses
Primary practice location
2936 Georgia Ave
Salina, KS 67401-7948
Mailing address
424 N Putnam St
Bennington, KS 67422-9424
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 |
|---|---|---|---|
| 18-01248 | KS | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1912504101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 N PUTNAM ST",
"city": "BENNINGTON",
"state": "KS",
"postal_code": "674229424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2936 GEORGIA AVE",
"city": "SALINA",
"state": "KS",
"postal_code": "674017948",
"telephone_number": "785-825-6954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "TANYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-01",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KS",
"license": "18-01248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salina, KS
- Melissa Lea Ingram, APRN
- Innovative Senior Care Home Health of Kansas LLC (Wesley Healthcare at Home)
- Innovative Solutions Addiction Treatment Center
- Bradley Ray Irvin, M.D
- Anthony Ivey, FNP-C
- Andrea M Jacobs, AAPS
- Latisha Marie Jacobson, PT
- Kendra S James, CRNA
- Jami L. Evans, LMFT
- Steven Michael Jared, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.