MS. BRENDA L.E. JACKSON


Address: 601 W Leota St, North Platte, NE 69101-6525
Phone: 3086968000

MS. BRENDA L.E. JACKSON (NPI# 1083060610) 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) 1083060610
Entity Type Individual
Full Name MS. BRENDA L.E. JACKSON
Credential OTR/L
Practice Address 601 W Leota St
North Platte
NE 69101-6525
Mailing Address 911 Grande Ave
North Platte
NE 69101-5277
Practice Telephone 3086968000
Mailing Telephone 3085202286
Enumeration Date 2016-05-12
Last Update Date 2016-05-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 1946 NE Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers BRENDA JACKSON

NPI Name Taxonomy Address Enumeration
1538653498 Brenda Jean Jackson Technician 807 Dillon Ave, New Aiken, SC 29801 2018-06-14
1205225349 Brenda Lee Jackson Nurse Practitioner 757 W Eisenhower Rd, Lansing, KS 66043-2215 2015-01-13
1467631556 Brenda Sue Jackson Case Manager/Care Coordinator 2508 S.e. 20th, Bentonville, AR 72712 2007-10-25
1588179501 Brenda Jackson Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2017-12-13
1578972600 Brenda Rene Jackson Counselor 1555 E Flamingo Rd, Ste. # 158, Las Vegas, NV 89119-5258 2014-08-01
1538509526 Brenda Jackson Behavioral Analyst 5135 Camino Al Norte, Suite 255, North Las Vegas, NV 89031-2387 2013-07-05
1215372644 Brenda Lee Jackson Registered Nurse 530 Hornady Dr, Monroeville, AL 36460-8658 2013-04-29
1326273707 Brenda Ann Jackson Radiologic Technologist 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2009-05-28
1336295286 Brenda A L Jackson Nurse Practitioner 45-602 Kamehameha Hwy, Kaneohe, HI 96744-2017 2007-01-25
1922042951 Brenda D Jackson Nurse Practitioner 1600 Coit Rd Ste 104, Plano, TX 75075-6171 2006-06-16

Office Location

Street Address 601 W LEOTA ST
City NORTH PLATTE
State NE
Zip Code 69101-6525

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689672040 Rick Allen Kukulka Radiology 601 W Leota St, North Platte, NE 69101-6525 2005-07-11
1669098687 Jessie Rose Thorup Physician Assistant 601 W Leota St, North Platte, NE 69101-6525 2020-06-25
1447898408 Shelby Rademacher Nurse Practitioner 601 W Leota St, North Platte, NE 69101-6525 2019-12-20
1952957102 Cecelia Rae Opela-sierks Nurse Practitioner 601 W Leota St, North Platte, NE 69101-6525 2019-08-14
1295299204 Alexander Donald Lucci Nurse Anesthetist, Certified Registered 601 W Leota St, North Platte, NE 69101-6525 2019-01-23
1679047708 Marisa Adlesich Physician Assistant 601 W Leota St, North Platte, NE 69101-6525 2019-01-11
1689146128 Jonathan Wade Nurse Anesthetist, Certified Registered 601 W Leota St, North Platte, NE 69101-6525 2018-12-21
1710452834 Nicholas Singer Nurse Anesthetist, Certified Registered 601 W Leota St, North Platte, NE 69101-6525 2018-10-04
1932694346 Elijah Samuel Vincent Nurse Anesthetist, Certified Registered 601 W Leota St, North Platte, NE 69101-6525 2018-06-27
1114418241 Lisa Elizabeth Kopf Physician Assistant 601 W Leota St, North Platte, NE 69101-6525 2018-05-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972017523 Rocky Mountain Holdings, LLC Ambulance 5570 E. Lee Bird Drive, Northe Platte, NE 69101 2017-11-18
1396297503 Karen L Gutherless Counselor 401 W Walker Road, North Platte, NE 69101 2016-11-04
1992165898 Laren Alden Roper Jr. Occupational Therapist 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 2016-03-04
1669733085 Stephanie Lynn Marcy Anesthesiology 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 2012-06-01
1033480470 Wb Counseling LLC Counselor 319 E. B St., North Platte, NE 69101 2012-01-17
1306114962 Amy J Kloess Occupational Therapist 8165 North Twin Lakes Rd, North Platte, NE 69101 2011-12-09
1043442312 Derek Walrod Dentist 1225 South Poplar, Suite 500, North Platte, NE 69101 2009-08-20
1033374525 Millie Erickson Urology 611 W. Francis St., Suite 200, North Platte, NE 69101 2008-07-23
1952586331 West Central District Health Department Public Health or Welfare 111 North Dewey Street, North Platte, NE 69101 2008-01-04
1558579698 Piper Dental Clinic Dentist 1919 West A Street, North Platte, NE 69101 2007-05-21
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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
1326590589 Diane Livingston Occupational Therapist 301 W F St, North Platte, NE 69101-5201 2016-11-03
1992165898 Laren Alden Roper Jr. Occupational Therapist 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 2016-03-04
1306114962 Amy J Kloess Occupational Therapist 8165 North Twin Lakes Rd, North Platte, NE 69101 2011-12-09
1992084057 Cassandra Jarzynka Occupational Therapist 921 Sioux Ln, North Platte, NE 69101-6778 2011-08-08
1245527217 Ann Robertson Occupational Therapist 510 Centennial Cir, North Platte, NE 69101-6586 2011-06-28
1164084703 Erin Wright Occupational Therapist 4000 W Philip Ave, North Platte, NE 69101-0305 2019-07-03
1629549860 Marcie A Minchow Occupational Therapist 1002 E Philip Ave, North Platte, NE 69101-6104 2018-12-16
1861971988 Kelsie Goc Occupational Therapist 301 W F St, North Platte, NE 69101-5201 2018-08-09
1235640350 Emily M E Kimmins Occupational Therapist 4000 W Philip Ave, North Platte, NE 69101-0305 2017-10-16
1477070753 Shayla Warnken Occupational Therapist 510 Centennial Cir, North Platte, NE 69101-6586 2017-08-28
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Competitor

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City NORTH PLATTE
Zip Code 69101

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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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