Tara-Renee Whalen, OTD OTR/L IBCLC NLP

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT-2077-0 Issued in HI

Practice address

1401 S Beretania St Ste 370
Honolulu, HI 96814-1871

Phone

(808) 369-9090

Fax

(808) 369-9087

NPI assigned

Apr 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Dr. Tara-Renee Hamilton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Play Thrive

  • Pediatric Occupational Therapist
  • Honolulu, HI
  • NPI 1952985459

  Pediatrics

  NPD Authorized official
• Arctic Circle Occupational Therapy

  • Pediatric Occupational Therapist
  • Coronado, CA
  • NPI 1386094779

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1255622114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 370",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141871",
            "telephone_number": "808-369-9090",
            "fax_number": "808-369-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 370",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141871",
            "telephone_number": "808-369-9090",
            "fax_number": "808-369-9087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Kuakini St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968172399",
            "country_code": "US",
            "telephone_number": "808-369-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "TARA-RENEE",
        "name_prefix": "Dr.",
        "credential": "OTD OTR/L IBCLC NLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-309686",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60075291",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "100574",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "11769",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "HI",
            "license": "OT-2077-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA-RENEE",
            "last_name": "HAMILTON",
            "prefix": "DR.",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rochelle R Westmoreland, MASSAGE THERAPIST
• Patria Ruth Weston-Lee, LCSW
• Zachary T Westrick, D.C.
• Erin Wetzel, MSW
• Wha J Kimball, Inc
• Corydon Robert Whaley
• Eanah Whaley, PHD
• Craig Whang
• Emily Wharton
• Katherine Hanes Wharton, LCSW

• Pediatric Occupational Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pediatric Occupational Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.