Individual provider Active NPI

Kate Trachte

  • Clinical Social Worker
  • Ewa Beach, HI
National Provider Identifier
1003142720
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1795 Issued in HI
Practice address
91-2301 Old Ft Weaver Rd
Ewa Beach, HI 96706-3602
Phone
(808) 671-8511
Fax
(808) 677-2570
NPI assigned
Oct 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1795 HI Primary

Addresses

Primary practice location

91-2301 Old Ft Weaver Rd
Ewa Beach, HI 96706-3602

Mailing address

915 Aliamanu PL
Honolulu, HI 96818-2853
Phone (608) 225-3936

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

LicenseStateTypeSpecialty
1795HIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1003142720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 ALIAMANU PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968182853",
            "telephone_number": "608-225-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2301 OLD FT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063602",
            "telephone_number": "808-671-8511",
            "fax_number": "808-677-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACHTE",
        "first_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "1795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.