Individual provider Active NPI

Suzanne Sunmee Lee, OTA/L

  • Occupational Therapy Assistant
  • Kaneohe, HI
National Provider Identifier
1639665060
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA-14 Issued in HI
Practice address
46-283 Kahuhipa St Apt C306
Kaneohe, HI 96744-6068
Phone
(732) 500-0730
NPI assigned
Jul 9, 2018
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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 OTA-14 HI Primary

Addresses

Primary practice location

46-283 Kahuhipa St Apt C306
Kaneohe, HI 96744-6068

Mailing address

46-283 Kahuhipa St Apt C306
Kaneohe, HI 96744-6068
Phone (732) 500-0730

Other practice location 1

46-283 Kahuhipa St Apt C306
Kaneohe, HI 96744-6068
Phone (732) 500-0730

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
OTA-14HIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1639665060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-283 KAHUHIPA ST APT C306",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967446068",
            "telephone_number": "732-500-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-283 KAHUHIPA ST APT C306",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967446068",
            "telephone_number": "732-500-0730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46-283 Kahuhipa St Apt C306",
            "address_purpose": "LOCATION",
            "city": "Kaneohe",
            "state": "HI",
            "postal_code": "967446068",
            "country_code": "US",
            "telephone_number": "732-500-0730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUZANNE",
        "middle_name": "SUNMEE",
        "credential": "OTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "HI",
            "license": "OTA-14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.