Healthcare Provider Details

I. General information

NPI: 1578192746
Provider Name (Legal Business Name): JAIMEE D P FIELDER OTR, EDD, OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6628 SANTO LINA TRL NW
ALBUQUERQUE NM
87120-2284
US

IV. Provider business mailing address

6628 SANTO LINA TRL NW
ALBUQUERQUE NM
87120-2284
US

V. Phone/Fax

Practice location:
  • Phone: 505-307-6008
  • Fax:
Mailing address:
  • Phone: 505-307-6008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-2026-0144
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: