Active NPI
Jessica Sue Pipkin
- Occupational Therapy Assistant
- Overland Park, KS
National Provider Identifier
1962846980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2012001552
- Practice address
- 4602 W 122ND St Apt 627
Overland Park, KS 66209-4217 - Phone
- (816) 738-3852
- NPI assigned
- Apr 21, 2013
- 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 Therapy Assistant | 224Z00000X | 2012001552 | MO | Primary |
Addresses
Primary practice location
4602 W 122ND St Apt 627
Overland Park, KS 66209-4217
Mailing address
4602 W 122ND St Apt 627
Overland Park, KS 66209-4217
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 |
|---|---|---|---|
| 2012001552 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366502400000",
"number": "1962846980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 W 122ND ST APT 627",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662094217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 W 122ND ST APT 627",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662094217",
"telephone_number": "816-738-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPKIN",
"first_name": "JESSICA",
"middle_name": "SUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-21",
"last_updated": "2013-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2012001552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.