Eileen Johnson Hume, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119007575 Issued in VA

Practice address

11 Dairy LN
Fredericksburg, VA 22405-2663

Phone

(540) 371-9414

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1164543997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19600 DERBY CT",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280319219",
            "telephone_number": "440-666-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DAIRY LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052663",
            "telephone_number": "540-371-9414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19600 Derby Ct",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280319219",
            "country_code": "US",
            "telephone_number": "440-666-9744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUME",
        "first_name": "EILEEN",
        "middle_name": "JOHNSON",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT002496",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "7951",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romana Hughes
• Darian Nicole Hugo, CSAC
• Nicole Hulings, SUPERVISEE
• Crystal Hull
• Meredith Hull, M.S. CCC/SLP
• Audrey Humphrey, NP
• Paul E Humphreys, PT, ATP
• Tiffany Frances Ayame Humphries, NP
• Hunt Country Nursing Service
• Dawn Marie Hunt

• Occupational Therapist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.