MS. JENNIFER KAYE BERG (NPI# 1245305788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245305788 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER KAYE BERG |
| Other Name | MISS JENNIFER KAYE GADDIS |
| Practice Address |
2615 W Main St Jacksonville AR 72076-4215 |
| Mailing Address |
109 Cypress St Centerton AR 72719-8991 |
| Practice Telephone | 5019824578 |
| Practice Fax Number | 5079821253 |
| Mailing Telephone | 4796332416 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTR1600 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578066692 | Jennifer L Berg | Student in an Organized Health Care Education/Training Program | 31 Poppy St, Casper, WY 82604-3813 | 2018-03-15 |
| 1851894398 | Jennifer Marie Berg | Occupational Therapy Assistant | 9821 County Road L, Delta, OH 43515-9773 | 2018-03-12 |
| 1093223372 | Jennifer Berg | Early Intervention Provider Agency | 137 S 17th St Apt B, St Charles, IL 60174-2547 | 2018-01-20 |
| 1669530622 | Jennifer Berg | Psychologist | 10801 El Camino Real, Atascadero, CA 93422-8867 | 2006-12-04 |
| 1124538772 | Jennifer Ashley Berg | Counselor | 3002 Armstrong St, San Diego, CA 92111-5702 | 2017-10-10 |
| 1245656826 | Jennifer Berg | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2014-03-06 |
| 1144579012 | Jennifer Marie Berg | Pharmacist | 1500 Ribaut Rd, Port Royal, SC 29935 | 2012-09-06 |
| 1194001743 | Jennifer Anne Berg | General Acute Care Hospital | 3800 Reservoir Rd, Georgetown University Hospital, Washington, DC 20007 | 2011-10-27 |
| 1255628780 | Jennifer A Berg | Psychologist | 30011 Ivy Glenn Dr, Ste 206, Laguna Niguel, CA 92677-5017 | 2011-07-05 |
| 1285803817 | Jennifer Lynn Berg | Nurse Anesthetist, Certified Registered | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2008-02-28 |
| Street Address |
2615 W MAIN ST |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225128523 | Vicky Evans | Speech-Language Pathologist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2006-10-15 |
| 1457838187 | Jonathan Edwin Waddell | Social Worker | 2615 W Main St, Jacksonville, AR 72076-4215 | 2018-07-25 |
| 1457588469 | Crystal Diane Washington | Speech-Language Pathologist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2009-06-17 |
| 1346475761 | Jennifer M Wilson | Speech-Language Pathologist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2009-05-29 |
| 1801953633 | Charlotte B Rye | Occupational Therapy Assistant | 2615 W Main St, Jacksonville, AR 72076-4215 | 2007-01-02 |
| 1043376494 | Crystal Penn | Occupational Therapist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2006-12-29 |
| 1205999893 | Susan Ellis Taylor | Occupational Therapist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2006-12-18 |
| 1356403729 | Amy Jo Lancaster | Speech-Language Pathologist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2006-12-14 |
| 1891867172 | Melissa W Ezzi | Speech-Language Pathologist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2006-11-14 |
| 1881765543 | Curtis Edwin Chatham | Speech-Language Pathologist | 2615 W Main St, Jacksonville, AR 72076-4215 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| 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 |
|---|---|---|---|---|
| 1467050245 | Abigail Faith Moore | Occupational Therapist | 708 Christopher Ct, Jacksonville, NC 28546-5849 | 2020-10-13 |
| 1093324923 | Leigh Ann Curette | Occupational Therapist | 7833 Blackstone River Dr E, Jacksonville, FL 32256-2993 | 2020-07-27 |
| 1992331151 | Jerelyne De Castro Idica | Occupational Therapist | 7801 Point Meadows Dr Unit 1102, Jacksonville, FL 32256-9134 | 2020-03-19 |
| 1265087332 | Thatiana M Howard | Occupational Therapist | 761 Village Center Dr S Apt 227, Jacksonville, FL 32206-1895 | 2019-08-06 |
| 1598310856 | T'erra Dale | Occupational Therapist | 11548 Willet Ct N, Jacksonville, FL 32225-3516 | 2019-08-05 |
| 1710541552 | Kiley Throop | Occupational Therapist | 200 Valencia Dr Ste 160, Jacksonville, NC 28546-6315 | 2019-04-26 |
| 1467912063 | Jacksonville Orthopaedic Institute Inc | Occupational Therapist | 14534 Old Saint Augustine Rd Ste 3220, Jacksonville, FL 32258-2460 | 2019-03-21 |
| 1184181000 | Jeremy Klimek | Occupational Therapist | 910 Assisi Lane, Jacksonville, FL 32233 | 2019-02-27 |
| 1528523917 | Mylee Gamboa | Occupational Therapist | 1334 Iralou Rd, Jacksonville, FL 32254-2224 | 2019-02-10 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
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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.