JENNIFER JACKS (NPI# 1972049294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972049294 |
| Entity Type | Individual |
| Full Name | JENNIFER JACKS |
| Credential | COTA/L |
| Practice Address |
2700 E 34th St Joplin MO 64804-4310 |
| Mailing Address |
1707 Rex Ave Apt 161f Joplin MO 64801-5940 |
| Practice Telephone | 4177811737 |
| Mailing Telephone | 4178441415 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2015024696 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699948901 | Jennifer Lynn Jacks | Dermatology | 1718 W 42nd Ave, Pine Bluff, AR 71603-7008 | 2008-04-08 |
| 1710383831 | Jennifer Jacks | Counselor | 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 | 2014-11-17 |
| 1225478134 | Jennifer C Jacks | Behavioral Analyst | 112 N High St, Antlers, OK 74523-2250 | 2013-06-25 |
| Street Address |
2700 E 34TH ST |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629013206 | Nhc Healthcare-joplin LLC | Skilled Nursing Facility | 2700 E 34th St, Joplin, MO 64804-4310 | 2006-06-18 |
| 1417494733 | John Soi | Occupational Therapy Assistant | 2700 E 34th St, Joplin, MO 64804-4310 | 2017-01-24 |
| 1629510292 | Jamie Denise Rawlings | Occupational Therapy Assistant | 2700 E 34th St, Joplin, MO 64804-4310 | 2016-11-13 |
| 1215366927 | Esther Bard | Physical Therapy Assistant | 2700 E 34th St, Joplin, MO 64804-4310 | 2013-11-03 |
| 1689959504 | Tara Lazure | Physical Therapy Assistant | 2700 E 34th St, Joplin, MO 64804-4310 | 2011-10-12 |
| 1154638765 | William Eugene Ward Jr. | Skilled Nursing Facility | 2700 E 34th St, Joplin, MO 64804-4310 | 2010-09-02 |
| 1043406903 | Ma. Estela Lopez Ortaleza | Physical Therapist | 2700 E 34th St, Joplin, MO 64804-4310 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982135497 | Kimberly Vandiver | Occupational Therapy Assistant | 4087 W Fountain Rd, Joplin, MO 64801-7686 | 2017-03-26 |
| 1417494733 | John Soi | Occupational Therapy Assistant | 2700 E 34th St, Joplin, MO 64804-4310 | 2017-01-24 |
| 1629510292 | Jamie Denise Rawlings | Occupational Therapy Assistant | 2700 E 34th St, Joplin, MO 64804-4310 | 2016-11-13 |
| 1053627075 | Teresa Christina Waggoner | Occupational Therapy Assistant | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2010-08-27 |
| 1265768667 | Virginia Holland | Occupational Therapy Assistant | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2009-10-20 |
| 1548417520 | Robyn Lynn Jennings | Occupational Therapy Assistant | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2008-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294361 | Carolyn Marie Placht | Occupational Therapy Assistant | 4019 Shenandoah Ave, Saint Louis, MO 63110-3928 | 2020-10-26 |
| 1053927129 | Kirk Zimmermann | Occupational Therapy Assistant | 1907 Congress St, Saint Louis, MO 63118-1705 | 2020-09-23 |
| 1942814363 | Marquita S Powell | Occupational Therapy Assistant | 9444 Duenke Dr, Saint Louis, MO 63137-1212 | 2020-09-02 |
| 1740806025 | Ashely Moore | Occupational Therapy Assistant | 27 Reinke Rd, Ellisville, MO 63021-4700 | 2020-06-22 |
| 1619505534 | Bethany Rice | Occupational Therapy Assistant | 124 Nw 90th Rd, Lamar, MO 64759-8154 | 2020-03-27 |
| 1366076929 | Kourtney Brooke Anderson | Occupational Therapy Assistant | 710 Newton Ave, Kahoka, MO 63445-1009 | 2020-02-23 |
| 1619508561 | Halley Jean Hawkins | Occupational Therapy Assistant | 9221 N Garfield Ave, Kansas City, MO 64155-3260 | 2020-01-29 |
| 1518503895 | Chavone Bonwell | Occupational Therapy Assistant | 13000 Corrington Ave, Grandview, MO 64030-2732 | 2019-11-21 |
| 1134763816 | Allyson Kristine Barone | Occupational Therapy Assistant | 5178 King St, Imperial, MO 63052-4000 | 2019-11-05 |
| 1962046862 | Kimberly Sue Bollinger | Occupational Therapy Assistant | 2085 Bluestone Dr, Saint Charles, MO 63303-6726 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
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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.