Active NPI
Leilani Marie Jeremiah, LMT
- Massage Therapist
- Kahului, HI
National Provider Identifier
1013277839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAT-11312
- Practice address
- 77 Hookele St Ste 101
Kahului, HI 96732-3516 - Phone
- (808) 270-1893
- Fax
- (808) 270-1892
- NPI assigned
- May 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAT-11312 | HI | Primary |
Addresses
Primary practice location
77 Hookele St Ste 101
Kahului, HI 96732-3516
Mailing address
52 Lino PL
Makawao, HI 96768-8525
Phone (808) 269-7695
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 |
|---|---|---|---|
| MAT-11312 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinty Revive | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Kahului, HI
- NPI 1538434477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337990400000",
"number": "1013277839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 LINO PL",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967688525",
"telephone_number": "808-269-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 HOOKELE ST STE 101",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967323516",
"telephone_number": "808-270-1893",
"fax_number": "808-270-1892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEREMIAH",
"first_name": "LEILANI",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-26",
"last_updated": "2012-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT-11312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.