- Practice location
- 2023 Beebe RD, Newport, VT 05855-8976
- Phone
- 802-274-0369
- Fax
- —
- Last updated
- February 26, 2025
Kristen L Jackson is an Occupational Therapist based in Newport, VT. Kristen L Jackson practices in Newport, VT and has the professional credentials of OTR. The NPI Number for Kristen L Jackson is 1104955806 and holds a License No. 072-0000553 (VT). The current practice location address for Kristen L Jackson is 2023 Beebe RD, Newport, VT 05855-8976 and can be reached out via phone at 802-274-0369.
Provider Profile Details
- NPI Number
- 1104955806
- Provider Name
- Kristen L Jackson
- Credential
- OTR
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2023 Beebe RD, Newport, VT 05855-8976
- Phone Number
- 802-274-0369
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 6, 2007
- Last Update Date
- February 26, 2025
- Certification Date
- February 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2023 Beebe RD
Newport, VT 05855-8976 - City
- Newport
- State
- Vermont
- Zip
- 05855-8976
- Phone Number
- 802-274-0369
Provider Business Mailing Address Details
- Address
- 2023 Beebe RD
Newport, VT 05855-8976 - City
- Newport
- State
- VT
- Zip
- 05855-8976
- Phone Number
- 802-274-0369
License Information
- License Number
- 072-0000553
- License State
- VT
- Taxonomy
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kristen L Jackson, OTR?
The NPI number of Kristen L Jackson, OTR is 1104955806. It was assigned on March 6, 2007 and is currently active in the NPPES registry.
What is the specialty of Kristen L Jackson, OTR?
Kristen L Jackson, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in VT under license number 072-0000553.
Where does Kristen L Jackson, OTR practice?
The practice location is 2023 Beebe RD, Newport, VT 05855-8976. The office can be reached at 802-274-0369 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104955806 directly on the NPPES registry website.