Jacquelynne Rose Carlson
NPI 1982338885ActiveIndividual· Occupational Therapist· Coeur D Alene, ID
Occupational Therapist in Coeur D Alene, Idaho, licensed in TX, with an NPI issued in July 2022. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1982338885 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 15, 2022 |
| Last updated in NPPES | Mar 6, 2025 |
| Certified by provider | Mar 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 121595 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (ID) |
|---|
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All 43 occupational therapists in Coeur D Alene · All occupational therapists in Idaho