Active NPI
Tara Exner, MSCOT
- Pediatric Occupational Therapist
- Waianae, HI
National Provider Identifier
1881136349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 1490
- Practice address
- 84-755 Ala Mahiku St
74C
Waianae, HI 96792-1747 - Phone
- (808) 726-0964
- NPI assigned
- Nov 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 1490 | HI | Primary |
Addresses
Primary practice location
84-755 Ala Mahiku St
74C
Waianae, HI 96792-1747
Mailing address
84-755 Ala Mahiku St
74C
Waianae, HI 96792-1747
Phone (808) 726-0964
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1490 | HI | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1881136349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84-755 ALA MAHIKU ST",
"address_2": "74C",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967921747",
"telephone_number": "808-726-0964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84-755 ALA MAHIKU ST",
"address_2": "74C",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967921747",
"telephone_number": "808-726-0964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXNER",
"first_name": "TARA",
"credential": "MSCOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-14",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "HI",
"license": "1490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waianae, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.