Individual provider Active NPI

Natasha E Andresen, OTR/L

  • Occupational Therapist
  • Kapaa, HI
National Provider Identifier
1407196249
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1212 Issued in HI
Practice address
5455 Kuamoo Rd
Unit D
Kapaa, HI 96746-8117
Phone
(517) 442-4612
NPI assigned
Feb 14, 2013
Sex
Female
Sole proprietor
No

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1212HIMDGeneral Practice Dentistry

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1212 HI Primary

Addresses

NPPES NPI Registry

Primary practice location

5455 Kuamoo Rd
Unit D
Kapaa, HI 96746-8117

Mailing address

5455 Kuamoo Rd
Unit D
Kapaa, HI 96746-8117
Phone (517) 442-4612

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2015.

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1407196249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 KUAMOO RD",
            "address_2": "UNIT D",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967468117",
            "telephone_number": "517-442-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 KUAMOO RD",
            "address_2": "UNIT D",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967468117",
            "telephone_number": "517-442-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRESEN",
        "first_name": "NATASHA",
        "middle_name": "E",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-14",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "1212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.