Inge L Verschueren, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17270 Issued in CA

Practice address

1973 White Oak Way
San Carlos, CA 94070-4747

Phone

(650) 346-7764

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1871054718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 WHITE OAK WAY",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940704747",
            "telephone_number": "650-346-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 WHITE OAK WAY",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940704747",
            "telephone_number": "650-346-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSCHUEREN",
        "first_name": "INGE",
        "middle_name": "L",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "17270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iverschueren@gatepath.org",
            "affiliation": "N",
            "endpointDescription": "Gatepath email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Client information",
            "address_1": "1973 White Oak Way",
            "city": "San Carlos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940704747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chelsea Sarah Vaughn, RN
• Fotini Vavelidis, MS,CGC
• Taylor Ann Veach
• Uriel Velazquez, B.S.
• Andrew Vercellino, DC
• Vibrant America Clinical Laboratory
• Vibrant America LLC
• Vibrant Genomics LLC.
• Vibrantcare Outpatient Rehabilitation of California Inc
• Vibrantcare Rehabilitation

• Occupational Therapist in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.