CRISTEN N SUDDUTH


Address: 374 Savanna St, Jackson, MS 39212-5257
Phone: 4049404442

CRISTEN N SUDDUTH (NPI# 1619517869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619517869
Entity Type Individual
Full Name CRISTEN N SUDDUTH
Practice Address 374 Savanna St
Jackson
MS 39212-5257
Practice Telephone 4049404442
Mailing Telephone 4049404442
Enumeration Date 2020-01-15
Last Update Date 2020-01-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225X00000X Occupational Therapist 120331 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 225X00000X Occupational Therapist 20686 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 374 SAVANNA ST
City JACKSON
State MS
Zip Code 39212-5257

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013406172 South Central Community Action Agency, Inc Non-emergency Medical Transport (VAN) 3891 I-55 South Frontage Rd, Jackson, MS 39212 2018-05-04
1508305780 Caring Companions LLC Home Health 1024 Cooper Rd, Jackson, MS 39212 2017-02-21
1750634044 Christians In Action, Inc. Community/Behavioral Health 2025 North Siwell Rd, Jackson, MS 39212 2012-10-24
1609164748 Counseling and Mentoring Program Community/Behavioral Health 2964 Terry Road B-1, Jackson, MS 39212 2011-07-11
1407179039 Caring Hands Community Services Inc Skilled Nursing Facility 3318 Longwood Drive, Jackson, MS 39212 2010-03-10
1992239404 Shaemik Harris Registered Nurse 3520 Sykes Park Dr, Jackson, MS 39212 2017-04-12
1780044438 Alfonzo Haralson Counselor 132 Thousand Oaks Cir, Jackson, MS 39212-2046 2016-02-24
1659384063 Kentrell Marie Liddell Family Medicine 2104 Thousand Oaks Dr, Jackson, MS 39212-2048 2006-08-15
1649819590 George Cavett Jr. Nurse Practitioner 2450 Twisted Oak Dr, Jackson, MS 39212-2137 2019-12-24
1912455361 Victorious Healthcare L.L.C. Assisted Living Facility 4959 Laurel Oak Dr, Jackson, MS 39212-2150 2016-09-14
Find all providers in zip 39212

Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326649740 Madison Mcbride Occupational Therapist 442 Redmond St, Jackson, WY 83001-8451 2020-11-03
1336763135 Jill Elaine Beattie Green Occupational Therapist 100 Ky-15, Jackson, KY 41339 2020-06-08
1144869892 Jill Garaffa Occupational Therapist 6 Three Pence Ln, Jackson, NJ 08527-2256 2019-12-29
1821565383 Brynn Corbello Occupational Therapist 5140 Galaxie Dr, Jackson, MS 39206-4335 2018-11-01
1205302601 Christopher Charles Patania Occupational Therapist 2890 Noon Rd, Jackson, MI 49201-9134 2018-10-23
1770014300 Haley Morris Occupational Therapist 556 N Donna Dr, Jackson, MO 63755-8080 2017-03-24
1174072920 Fortunato Alipala Occupational Therapist 320 Hidden Meadows Dr, Jackson, MO 63755-3274 2016-09-21
1992252423 Joshua Muchnick Occupational Therapist 826 Green Valley Road, Jackson, NJ 08527-2944 2016-09-01
1134591423 Eleazar Kapunan Occupational Therapist 21 Silvercrest Cv, Jackson, TN 38305-7862 2015-10-26
1558732685 Nicole Cameron Occupational Therapist 1001 Laurence Ave Comprehensive Speech and Therapy Cent, Suite E, Jackson, MI 49202-2979 2015-10-15
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39212

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Dataset Information

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.

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