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