Individual provider Active NPI

Nupur Tenne, MS OTR/L

  • Occupational Therapist
  • Bellevue, WA
National Provider Identifier
1215288907
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 00004595 Issued in WA
Practice address
2100 116TH Ave NE
Bellevue, WA 98004-3016
Phone
(425) 818-5007
Fax
(206) 774-7903
NPI assigned
Sep 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 00004595 WA Primary

Addresses

Primary practice location

2100 116TH Ave NE
Bellevue, WA 98004-3016

Mailing address

13915 SE 23Rd St
Bellevue, WA 98005-4015
Phone (425) 818-5007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140610002200 WA Practitioner - Occupational Therapist in Private Practice 8224266291 Practice locations: Bellevue, WA

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
State University of New York at Buffalo School of Medicine, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2340 130TH Ave NE
Suite D200
Bellevue, WA 98005-1700
Phone (425) 818-5007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT 00004595WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1215288907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13915 SE 23RD ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054015",
            "telephone_number": "425-818-5007",
            "fax_number": "206-774-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043016",
            "telephone_number": "425-818-5007",
            "fax_number": "206-774-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNE",
        "first_name": "NUPUR",
        "name_prefix": "Ms.",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT 00004595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.