Active NPI
Judena Pierre
- Environmental Modification Occupational Therapy Assistant
- Deerfield Beach, FL
National Provider Identifier
1992201263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Environmental Modification Occupational Therapy Assistant
- License
- 4301
- Practice address
- 500 Fairway Dr Ste 102
Deerfield Beach, FL 33441 - Phone
- (954) 947-3192
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Environmental Modification Occupational Therapy Assistant | 224ZE0001X | 4301 | CA | Primary |
Addresses
Primary practice location
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441
Mailing address
1415 Lake Ave Apt 5
Lake Worth, FL 33460-3658
Phone (561) 767-5029
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 |
|---|---|---|---|
| 4301 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1992201263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 LAKE AVE APT 5",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334603658",
"telephone_number": "561-767-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR STE 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "33441",
"telephone_number": "954-947-3192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERRE",
"first_name": "JUDENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "224ZE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Environmental Modification",
"state": "CA",
"license": "4301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.