Individual provider Active NPI

Justina Amewie Kennde, OTR/L

  • Occupational Therapist
  • Humble, TX
National Provider Identifier
1982105359
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
116177 Issued in TX
Practice address
8450 Will Clayton Pkwy
Humble, TX 77338-5830
Phone
(281) 446-8484
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
116177TXMDSpeech-Language Pathologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 116177 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

8450 Will Clayton Pkwy
Humble, TX 77338-5830

Mailing address

8450 Will Clayton Pkwy
Humble, TX 77338-5830
Phone (281) 446-8484

Other names 1

NPPES NPI Registry
  • Mrs. Justina Amewie Idoko Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2018.

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1982105359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 WILL CLAYTON PKWY",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385830",
            "telephone_number": "281-446-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 WILL CLAYTON PKWY",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385830",
            "telephone_number": "281-446-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNDE",
        "first_name": "JUSTINA",
        "middle_name": "AMEWIE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINA",
            "last_name": "IDOKO",
            "middle_name": "AMEWIE",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.