Active NPI
Veronica Y. K. K. Anduha, OTD, OTR/L
- Occupational Therapist
- Honokaa, HI
National Provider Identifier
1124757901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-2628
- Practice address
- 45-3380 Mamane St
Honokaa, HI 96727-6933 - Phone
- (808) 896-3183
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-2628 | HI | Primary |
| Occupational Therapist | 225X00000X | OT-2680 | NV |
Addresses
Primary practice location
45-3380 Mamane St
Honokaa, HI 96727-6933
Mailing address
665 Pickled Pepper PL
Henderson, NV 89011-5510
Phone (909) 838-6280
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 |
|---|---|---|---|
| OT-2628 | HI | MD | Occupational Therapist |
| OT-2680 | NV | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1124757901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 PICKLED PEPPER PL",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890115510",
"telephone_number": "909-838-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-3380 MAMANE ST",
"city": "HONOKAA",
"state": "HI",
"postal_code": "967276933",
"telephone_number": "808-896-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDUHA",
"first_name": "VERONICA",
"middle_name": "Y. K. K.",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "HI",
"license": "OT-2628",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "OT-2680",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honokaa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.