Active NPI
Kristen Marie Huenerberg, OTR
- Occupational Therapist
- Virginia Beach, VA
National Provider Identifier
1891235610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119-007267
- Practice address
- 5604 Virginia Beach Blvd
Building a, Suite 101
Virginia Beach, VA 23462-5631 - Phone
- (757) 455-5000
- Fax
- (757) 319-4142
- NPI assigned
- Feb 27, 2017
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119-007267 | VA | Primary |
Addresses
Primary practice location
5604 Virginia Beach Blvd
Building a, Suite 101
Virginia Beach, VA 23462-5631
Mailing address
5604 Virginia Beach Blvd
Building a, Suite 101
Virginia Beach, VA 23462
Phone (757) 455-5000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119-007267 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1891235610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 VIRGINIA BEACH BLVD",
"address_2": "BUILDING A, SUITE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23462",
"telephone_number": "757-455-5000",
"fax_number": "757-319-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 VIRGINIA BEACH BLVD",
"address_2": "BUILDING A, SUITE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234625631",
"telephone_number": "757-455-5000",
"fax_number": "757-319-4142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUENERBERG",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-27",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119-007267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.