Individual provider Active NPI

Linda Susan Yasunaga, COTA/L

  • Occupational Therapy Assistant
  • Honolulu, HI
National Provider Identifier
1003460478
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
63 Issued in HI
Practice address
475 22ND Ave RM 127
Honolulu, HI 96816-4400
Phone
(808) 305-9750
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 63 HI Primary

Addresses

Primary practice location

475 22ND Ave RM 127
Honolulu, HI 96816-4400

Mailing address

475 22ND Ave RM 127
Honolulu, HI 96816-4400
Phone (808) 305-9750

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

LicenseStateTypeSpecialty
63HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
State of Hawaii Department of Education CurrentSince Feb 7, 2021 Accepting new patients

Locations

475 22nd Ave
Rm 127
Honolulu, HI 96816
Phone (808) 305-9750

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1003460478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 22ND AVE RM 127",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164400",
            "telephone_number": "808-305-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 22ND AVE RM 127",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164400",
            "telephone_number": "808-305-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASUNAGA",
        "first_name": "LINDA SUSAN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "HI",
            "license": "63",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.