Active NPI
Amanda Maria Nuneviller, MS, OTR/L
- Occupational Therapist
- Chicago, IL
National Provider Identifier
1235693433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.012817
- Practice address
- 1422 W Willow St
Chicago, IL 60642-8978 - Phone
- (773) 980-0300
- NPI assigned
- Jan 22, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.012817 | IL | Primary |
Addresses
Primary practice location
1422 W Willow St
Chicago, IL 60642-8978
Mailing address
545 N McClurg CT Unit 3604
Chicago, IL 60611-3984
Phone (856) 745-9248
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.012817 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1235693433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 N MCCLURG CT UNIT 3604",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113984",
"telephone_number": "856-745-9248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 W WILLOW ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606428978",
"telephone_number": "773-980-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEVILLER",
"first_name": "AMANDA",
"middle_name": "MARIA",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.012817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.