Active NPI
Natasha E Andresen, OTR/L
- Occupational Therapist
- Kapaa, HI
National Provider Identifier
1407196249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1212
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1212 | HI | MD | General Practice Dentistry |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1212 | HI | Primary |
Addresses
NPPES NPI RegistryPrimary 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.