Active NPI
Jennifer Renea Nunning, OTR
- Occupational Therapist
- Newburgh, IN
National Provider Identifier
1962362665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31004154A
- Practice address
- 4233 Gateway Blvd Ste 201
Newburgh, IN 47630-8900 - Phone
- (812) 450-8580
- NPI assigned
- Nov 14, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 31004154A | IN | MD | Occupational Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31004154A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4233 Gateway Blvd Ste 201
Newburgh, IN 47630-8900
Mailing address
1516 Southfield Rd
Evansville, IN 47715-5214
Phone (812) 483-2173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2025.
{
"created_epoch": "1763078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1962362665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 SOUTHFIELD RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477155214",
"telephone_number": "812-483-2173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4233 GATEWAY BLVD STE 201",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308900",
"telephone_number": "812-450-8580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNNING",
"first_name": "JENNIFER",
"middle_name": "RENEA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-14",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31004154A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.