Individual provider Active NPI

Amanda Newbern, MS, OTR/L

  • Occupational Therapist
  • Murfreesboro, TN
National Provider Identifier
1669878922
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4468 Issued in TN
Practice address
420 N University St
Murfreesboro, TN 37130-3931
Phone
(615) 893-2602
NPI assigned
Nov 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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 4468 TN Primary

Addresses

Primary practice location

420 N University St
Murfreesboro, TN 37130-3931

Mailing address

420 N University St
Murfreesboro, TN 37130-3931
Phone (615) 893-2602

Other names 1

  • Ms. Amanda D Newbern Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1669878922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N UNIVERSITY ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303931",
            "telephone_number": "615-893-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N UNIVERSITY ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303931",
            "telephone_number": "615-893-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERN",
        "first_name": "AMANDA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "4468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "NEWBERN",
            "middle_name": "D",
            "prefix": "MS.",
            "credential": "MS, OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.