Individual provider Active NPI

Erin Beavers Dupuis, OT

  • Occupational Therapist
  • Hillsboro, OR
National Provider Identifier
1508154022
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
60232337 Issued in WA
Practice address
5825 NW Ray Cir
Hillsboro, OR 97124
Phone
(503) 601-2954
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 60232337 WA Primary

Addresses

Primary practice location

5825 NW Ray Cir
Hillsboro, OR 97124

Mailing address

4820 NE Hazel Dell Ave
#432
Vancouver, WA 98663-3803
Phone (360) 624-2553

Other practice location 1

4820 NE Hazel Dell Ave
Apt #432
Vancouver, WA 98663-5892
Phone (360) 624-2553

Other identifiers 2

IdentifierTypeStateIssuer
33383052OtherORKAISER
1508154022MedicaidOR

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
60232337WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1508154022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 NE HAZEL DELL AVE",
            "address_2": "#432",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633803",
            "telephone_number": "360-624-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 NW RAY CIR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97124",
            "telephone_number": "503-601-2954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4820 NE Hazel Dell Ave",
            "address_2": "Apt #432",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986635892",
            "country_code": "US",
            "telephone_number": "360-624-2553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPUIS",
        "first_name": "ERIN",
        "middle_name": "BEAVERS",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60232337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "33383052",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508154022",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.