SHELBY BROOKE JENNINGS (NPI# 1528543097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528543097 |
| Entity Type | Individual |
| Full Name | SHELBY BROOKE JENNINGS |
| Credential | OT |
| Practice Address |
7035 Saint Andrews Rd Columbia SC 29212-1177 |
| Mailing Address |
20211 Sugarloaf Reserve Dr Duluth GA 30097-5216 |
| Practice Telephone | 8037490924 |
| Mailing Telephone | 7703141113 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5404 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2720 Sunset Blvd, West Columbia, SC 291694810 | 8037912000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023593894 | Shelby Rae Jennings | Developmental Therapist | 3033 Arrowroot Way, Indianapolis, IN 46239-7973 | 2018-09-27 |
| 1235586009 | Shelby Thomas Jennings | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2016-05-20 |
| Street Address |
7035 SAINT ANDREWS RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396778056 | Lexington County Health Services District, Inc. | Clinic/Center | 7035 Saint Andrews Rd, Columbia, SC 29210 | 2006-07-08 |
| 1811594294 | Lexington Health Inc | Clinic/Center | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 | 2020-10-08 |
| 1396342838 | Lexington Health Inc | Clinic/Center | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 | 2020-10-07 |
| 1407488893 | Kellsey Jerrine Frischmann | Nurse Practitioner | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 | 2020-02-04 |
| 1962828194 | Whitney Renee Wise Buckland | Physician Assistant | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 | 2014-03-12 |
| 1285766162 | Lashell L Head | Nurse Practitioner | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 | 2007-03-09 |
| 1265525034 | Kathryn B. Himes | Physical Therapy Assistant | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 | 2006-10-02 |
| 1306939152 | Deborah Elizabeth Horton | Physical Therapist | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 | 2006-10-02 |
| 1255436093 | Donald L Powell | Emergency Medicine | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 | 2006-09-14 |
| 1730283029 | David C Winn | Emergency Medicine | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 | 2006-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| 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 |
|---|---|---|---|---|
| 1790385243 | Brittain Harris | Occupational Therapist | 1710 Richland St # B, Columbia, SC 29201-2636 | 2020-10-26 |
| 1003414517 | Tracy Gornowski | Occupational Therapist | 5312 Chase Lions Way, Columbia, MD 21044-5596 | 2020-10-16 |
| 1629686084 | Kara Leigh Jordan | Occupational Therapist | 8513 Wild Wing Way, Columbia, MD 21045-2608 | 2020-07-21 |
| 1255950374 | Mikayla Kemmerly Kemmerly | Occupational Therapist | 621 S 14th St, Columbia, PA 17512-1914 | 2020-04-09 |
| 1073159232 | Brianna Kim | Occupational Therapist | 104 Granada Blvd Apt A, Columbia, MO 65203-3097 | 2019-11-22 |
| 1275195745 | Emily Arndts | Occupational Therapist | 9730 Patuxent Woods Dr Ste 100, Columbia, MD 21046-1626 | 2019-07-03 |
| 1306317664 | Maya Green | Occupational Therapist | 6257 Golden Coin Ct, Columbia, MD 21045-4450 | 2018-12-16 |
| 1477032274 | Early Wonders Pediatrics, LLC | Occupational Therapist | 406 Terry Drive, Columbia, IL 62236-1551 | 2018-08-13 |
| 1417433764 | Lauren Sanders | Occupational Therapist | 7216 Procopio Cir, Columbia, MD 21046-1642 | 2018-07-18 |
| 1912492190 | Gabriel O. John | Occupational Therapist | 7217 Carved Stone, Columbia, MD 21045-5249 | 2018-06-29 |
| Find all providers in COLUMBIA | ||||
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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.