Springy Pond Farm

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

CO8403 Issued in ME

Legal business name

SPRINGY POND FARM

Practice address

562 Springy Pond Rd.
Otis, ME 04605

Phone

(207) 356-2169

NPI assigned

Jun 23, 2010

Organization subpart

No

Name

Mrs. Jennifer Jordan Cammack, OT/LNPI 1053621987

Title

Occupational Therapist

Phone

(207) 537-3369

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Cammack

  • Occupational Therapist
  • Ellsworth, ME
  • NPI 1053621987
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 23, 2010.

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1962713115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 SPRINGY POND RD",
            "city": "CLIFTON",
            "state": "ME",
            "postal_code": "044286175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 SPRINGY POND RD.",
            "city": "OTIS",
            "state": "ME",
            "postal_code": "04605",
            "telephone_number": "207-356-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGY POND FARM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "CAMMACK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "207-537-3369",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT/L"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "ME",
            "license": "CO8403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otis School Department
• Sally Stanley
• Melissa L Tenney

• All providers in Otis, ME
• Voluntary or Charitable Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.