JESSICA NICHOLS (NPI# 1245428812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245428812 |
| Entity Type | Individual |
| Full Name | JESSICA NICHOLS |
| Credential | OT |
| Practice Address |
906 Tetbury Pl Brandon MS 39047-9274 |
| Practice Telephone | 6628208732 |
| Mailing Telephone | 6628208732 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2017-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT1648 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07728286 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790232973 | Jessica Nichols | Behavioral Analyst | 571 Morse Memorial Hwy, Olmstedville, NY 12857-1825 | 2016-09-06 |
| 1528320959 | Jessica R Nichols | Optometrist | 1528 Ne 96th St, Suite #a, Liberty, MO 64068-1364 | 2012-06-12 |
| 1457580235 | Jessica Nichols | Nurse Practitioner | 10651 E. Street, Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2009-07-14 |
| 1922261866 | Jessica Nichols | Pharmacist | 3501 Forbes Ave Rm 756, Pittsburgh, PA 15213-3317 | 2008-07-09 |
| 1043810336 | Jessica Nichols | Case Manager/Care Coordinator | 200 12th Street Ext, Princeton, WV 24740-2329 | 2020-10-27 |
| 1629695788 | Jessica Paige Nichols | Pharmacist | 2153 E Main St Ste B9, Duncan, SC 29334-8863 | 2020-07-06 |
| 1497318505 | Jessica Nichols | Social Worker | 401 Whitney Ave Ste 135, Gretna, LA 70056-2577 | 2019-04-16 |
| 1487111936 | Jessica Nichols | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2019-02-20 |
| 1093294167 | Jessica Nichols | Licensed Vocational Nurse | 426 E Allegheny Ave, Philadelphia, PA 19134-2338 | 2018-08-09 |
| 1902399793 | Jessica Christine Nichols | Case Manager/Care Coordinator | 555 Technology Ct Ste 300, Riverside, CA 92507-2156 | 2018-06-07 |
| Street Address |
906 TETBURY PL |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-9274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669963591 | Melissa Rogers | Occupational Therapist | 1220 E Holly Blvd, Brandon, SD 57005-1359 | 2018-05-26 |
| 1912454281 | Leeanne M Beasley | Occupational Therapist | 172 Regatta Dr, Brandon, MS 39047-7046 | 2016-09-05 |
| 1881098077 | Denise Dreiling | Occupational Therapist | 1506 Kestrel Way, Brandon, FL 33511 | 2014-10-16 |
| 1770984320 | Justin Davis | Occupational Therapist | 1719 Chapel Tree Cir, Brandon, FL 33511-9326 | 2014-09-12 |
| 1578991220 | Kaye Sommer | Occupational Therapist | 724 Bowing Oak Dr, Brandon, FL 33511-5974 | 2013-10-16 |
| 1932534740 | Alyssa N Mclean | Occupational Therapist | 1076 E Brandon Blvd Ste 106, Brandon, FL 33511-5534 | 2013-09-11 |
| 1477987808 | Yuliska M. Perez | Occupational Therapist | 1604 Harvard Woods Dr Apt 2414, Brandon, FL 33511-2080 | 2013-08-21 |
| 1316383490 | Ashley Marco | Occupational Therapist | 161 Mandy Dr, Brandon, MS 39042-8975 | 2013-05-16 |
| 1164714283 | Vania Rodrigues Sperling | Occupational Therapist | 3637 Woodhill Dr, Brandon, FL 33511-7815 | 2011-05-08 |
| 1609178680 | Angela L Clay | Occupational Therapist | 718 Whippoorwill Dr, Brandon, MS 39047-7375 | 2010-11-24 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.