Individual provider Active NPI

Holly Elise Van Meeteren, O.T.R. L

  • Occupational Therapist
  • Tustin, CA
National Provider Identifier
1083666317
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2268 Issued in CA
Practice address
300 S C St
Tustin, CA 92780-3633
Phone
(949) 636-8969
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2268 CA Primary
Pediatric Occupational Therapist 225XP0200X 2268 CA

Addresses

Primary practice location

300 S C St
Tustin, CA 92780-3633

Mailing address

300 S C St
Tustin, CA 92780-3633
Phone (949) 636-8969

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1083666317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S C ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803633",
            "telephone_number": "949-636-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S C ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803633",
            "telephone_number": "949-636-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN MEETEREN",
        "first_name": "HOLLY",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "O.T.R. L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "2268",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "2268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.