MS. JAZMIN A BOLDUC (NPI# 1609434760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609434760 |
| Entity Type | Individual |
| Full Name | MS. JAZMIN A BOLDUC |
| Credential | OTR/L |
| Practice Address |
2320 Borst Ave Centralia WA 98531-1410 |
| Mailing Address |
Centralia School District #401 2320 Borst Avenue Centralia WA 98531 |
| Practice Telephone | 3603307600 |
| Mailing Telephone | 3603307600 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2320 BORST AVE |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932640661 | Ann Munson | Speech-Language Pathologist | 2320 Borst Ave, Centralia, WA 98531-1410 | 2017-03-14 |
| 1881160166 | Lee Ann Batchelor | Registered Nurse | 2320 Borst Ave, Centralia, WA 98531-1498 | 2018-10-15 |
| 1457832644 | Kayla Rose Devine | Speech-Language Pathologist | 2320 Borst Ave, Centralia, WA 98531-1410 | 2018-08-24 |
| 1518485804 | Jorge Ramos Medina | Occupational Therapy Assistant | 2320 Borst Ave, Centralia, WA 98531-1410 | 2017-09-07 |
| 1306361985 | Ashley Anne Yates | Physical Therapist | 2320 Borst Ave, Centralia, WA 98531-1410 | 2017-08-04 |
| 1134656739 | Kristi Joy Bushell | Occupational Therapy Assistant | 2320 Borst Ave, Centralia, WA 98531-1410 | 2017-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| 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 |
|---|---|---|---|---|
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1689033128 | Lacey Erin Burchett | Occupational Therapist | 616 Oakland Ave, Centralia, WA 98531-1544 | 2016-02-11 |
| 1841320686 | Nancy Ann Hanks Simmons | Occupational Therapist | 43 Woods Ln, Centralia, IL 62801-6239 | 2007-03-07 |
| 1699798561 | Bdm Associates LLC | Occupational Therapist | 1238 Remington Drive, Centralia, MO 65240-1197 | 2006-07-25 |
| 1841827722 | Monica Fouts | Occupational Therapist | 917 S Scheuber Rd, Centralia, WA 98531-9027 | 2020-03-23 |
| 1366005316 | Kylar G Meyer | Occupational Therapist | 604 1st St, Centralia, KS 66415-9637 | 2019-04-16 |
| 1972026029 | Premere Rehab LLC | Occupational Therapist | 1509 Harrison Ave, Centralia, WA 98531-4568 | 2017-07-20 |
| 1871046789 | Krista Poppe | Occupational Therapist | 917 S Scheuber Rd, Centralia, WA 98531-9027 | 2016-07-27 |
| 1750715751 | Anne Berglund | Occupational Therapist | 917 S Scheuber Rd, Centralia, WA 98531-9027 | 2013-08-26 |
| 1295002905 | Kristina Marie Anderson | Occupational Therapist | 914 S Scheuber Road, Providence Centralia Hospital, Centralia, WA 98532 | 2011-11-23 |
| Find all providers in CENTRALIA | ||||
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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.