Active NPI
Suzanne M Vienneau, OTR
- Occupational Therapist
- Ormond Beach, FL
National Provider Identifier
1013137546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT7826
- Practice address
- 93 Pinecrest Ave
Ormond Beach, FL 32176-5451 - Phone
- (386) 871-5449
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT7826 | FL | Primary |
Addresses
Primary practice location
93 Pinecrest Ave
Ormond Beach, FL 32176-5451
Mailing address
93 Pinecrest Ave
Pobox 2563
Ormond Beach, FL 32176-5451
Phone (386) 871-6449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT7826 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1013137546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 PINECREST AVE",
"address_2": "POBOX 2563",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321765451",
"telephone_number": "386-871-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 PINECREST AVE",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321765451",
"telephone_number": "386-871-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIENNEAU",
"first_name": "SUZANNE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT7826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.