Individual provider Active NPI

Diane Faye Huchendorf, COTA

  • Occupational Therapy Assistant
  • Milwaukie, OR
National Provider Identifier
1568869618
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
335239 Issued in OR
Practice address
19815 SE Rinearson Dr
Milwaukie, OR 97267-6975
Phone
(503) 803-3960
NPI assigned
Dec 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 335239 OR Primary

Addresses

Primary practice location

19815 SE Rinearson Dr
Milwaukie, OR 97267-6975

Mailing address

19815 SE Rinearson Dr
Milwaukie, OR 97267-6975
Phone (503) 803-3960

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
335239ORMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1568869618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19815 SE RINEARSON DR",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676975",
            "telephone_number": "503-803-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19815 SE RINEARSON DR",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676975",
            "telephone_number": "503-803-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCHENDORF",
        "first_name": "DIANE",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "335239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.