Jessica A Brown

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2012029435 Issued in MO

Practice address

3023 S Fort Ave Ste B
Springfield, MO 65807-4217

Phone

(417) 890-4656

Fax

(417) 708-0889

NPI assigned

Aug 11, 2017

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932624855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 S FORT AVE STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074217",
            "telephone_number": "417-890-4656",
            "fax_number": "417-708-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 S FORT AVE STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074217",
            "telephone_number": "417-890-4656",
            "fax_number": "417-708-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JESSICA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2012029435",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delores E Brown, MD
• Dennis R. Brown, MD
• Dustin J Brown, PSYD, LP
• Ernest Leslie Brown IV
• Gracelynn Ann Brown
• John H Brown, MD
• Karissa B Brown
• Kayla Renee Brown, COTA/L
• Korey Jeffrey Brown
• Leslie Jeanne Brown, LCSW,LPC,ATR-BC,RPT

• Occupational Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.