Individual provider Active NPI

Veronica Y. K. K. Anduha, OTD, OTR/L

  • Occupational Therapist
  • Honokaa, HI
National Provider Identifier
1124757901
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2628 Issued in HI
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

Updated by the provider on Nov 12, 2025

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 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

LicenseStateTypeSpecialty
OT-2628HIMDOccupational Therapist
OT-2680NVMDOccupational 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.

Verify at the official NPI Registry.