Jennifer Jacks, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2015024696 Issued in MO

Practice address

2700 E 34TH St
Joplin, MO 64804-4310

Phone

(417) 781-1737

NPI assigned

Jan 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1972049294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 REX AVE APT 161F",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648015940",
            "telephone_number": "417-844-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 34TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044310",
            "telephone_number": "417-781-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKS",
        "first_name": "JENNIFER",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2015024696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isd Renal Inc
• J&L Wilson Enterprises LLC
• Wasey Jabbar, MD
• Hafsa Jabeen
• Michael Jack, CRNA
• Anastasia Jackson, CRNA
• Gabriel Edward Jacobs
• Marilyn J. Jacobs, RNC, WHNP
• Richard R Jacobs, MD
• Jonathan Jacoby, DDS

• Occupational Therapy Assistant in Joplin, MO
• Providers in Joplin, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.