Hazel Fuertes-Diel, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056008638 Issued in IL

Practice address

225 Einhaus LN
Quincy, IL 62305-1001

Phone

(217) 220-9245

NPI assigned

Dec 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1154866614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EINHAUS LN",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623051001",
            "telephone_number": "217-220-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EINHAUS LN",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623051001",
            "telephone_number": "217-220-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUERTES-DIEL",
        "first_name": "HAZEL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056008638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "056008638",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia J Fritts, LCSW
• Pamela Phillips Friye, D.O.
• Ami Diane Froese, RD LDN
• Frank Richard Froman, ED.D.
• Carol B Frost, RPH
• Kyle Allen Funfsinn, HAD
• Eric K Fynn-Thompson, M.D.
• Gadson Clinic
• Ashley L Gallaher, LPC
• Sumul Ashok Gandhi, MD

• Occupational Therapist in Quincy, IL
• Providers in Quincy, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.