Individual provider Active NPI

Lan Van-Buendia, MS OTR/L, CHT

  • Hand Occupational Therapist
  • Gainesville, VA
National Provider Identifier
1578983441
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0119002732 Issued in VA
Practice address
7536 Gardner Park Dr
Suite 7536
Gainesville, VA 20155-3414
Phone
(703) 754-4770
NPI assigned
Apr 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 0119002732 VA Primary

Addresses

Primary practice location

7536 Gardner Park Dr
Suite 7536
Gainesville, VA 20155-3414

Mailing address

7536 Gardner Park Dr
Suite 7536
Gainesville, VA 20155-3414
Phone (703) 754-4770

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0119002732VAMDHand Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1578983441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7536 GARDNER PARK DR",
            "address_2": "SUITE 7536",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553414",
            "telephone_number": "703-754-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7536 GARDNER PARK DR",
            "address_2": "SUITE 7536",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553414",
            "telephone_number": "703-754-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN-BUENDIA",
        "first_name": "LAN",
        "credential": "MS OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "VA",
            "license": "0119002732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.