Individual provider Active NPI

Camille Castaneda Andras, MOT

  • Occupational Therapist
  • Sparks, NV
National Provider Identifier
1487872453
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
105022 Issued in NV
Practice address
1025 Roberta LN
Sparks, NV 89431-1893
Phone
(775) 825-4744
NPI assigned
Apr 23, 2007
Last updated
Mar 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 105022 NV Primary
Pediatric Occupational Therapist 225XP0200X 1074477 OR

Addresses

Primary practice location

1025 Roberta LN
Sparks, NV 89431-1893

Mailing address

8482 Cutthroat Avenue
Box 853
Kings Beach, CA 96143
Phone (541) 556-9328

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

State licenses

LicenseStateTypeSpecialty
105022NVMDOccupational Therapist
1074477ORMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1487872453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8482 CUTTHROAT AVENUE",
            "address_2": "BOX 853",
            "city": "KINGS BEACH",
            "state": "CA",
            "postal_code": "96143",
            "telephone_number": "541-556-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ROBERTA LN",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894311893",
            "telephone_number": "775-825-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRAS",
        "first_name": "CAMILLE",
        "middle_name": "CASTANEDA",
        "name_prefix": "Mrs.",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "105022",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "1074477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.