Individual provider Active NPI

Jerzl Anne A Awit

  • Occupational Therapist
  • Lancaster, CA
National Provider Identifier
1992440903
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT23223 Issued in CA
Practice address
44567 15TH St W
Lancaster, CA 93534-2803
Phone
(520) 282-3785
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT23223 CA Primary

Addresses

Primary practice location

44567 15TH St W
Lancaster, CA 93534-2803

Mailing address

11793 N Silverscape Dr
Oro Valley, AZ 85737-1411
Phone (520) 833-8807

Other identifiers 1

IdentifierTypeStateIssuer
474947-32-101OtherCAAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://avcsnf.com/contact-us/ Direct

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

LicenseStateTypeSpecialty
OT23223CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1992440903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11793 N SILVERSCAPE DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857371411",
            "telephone_number": "520-833-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44567 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342803",
            "telephone_number": "520-282-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWIT",
        "first_name": "JERZL ANNE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT23223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "474947-32-101",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://avcsnf.com/contact-us/",
            "affiliation": "N",
            "endpointDescription": "office website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "44567 15th St W",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935342803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.