Jennifer Coon, OTR/L
Individual provider Active NPI Specialist · Henderson, NV
NPI 1992135149 · NPPES record last updated Nov 24, 2013
Key facts
- NPI
- 1992135149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 13-0370 (NV)
- Practice address
- 158 Coyote Hills St
Henderson, NV 89012-6003 - Phone
- (702) 738-7342
- NPI assigned
- Nov 24, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-0370 | NV | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13-0370 | NV | Yes |
Addresses
Primary practice location
158 Coyote Hills St
Henderson, NV 89012-6003
Mailing address
158 Coyote Hills St
Henderson, NV 89012-6003
Phone (702) 738-7342
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.