Individual provider Active NPI

Corie Aki Miura, MS CCC A

  • Audiologist
  • Aiea, HI
National Provider Identifier
1023003779
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD104 Issued in HI
Practice address
99-115 Aiea Heights Dr
#264
Aiea, HI 96701-3924
Phone
(808) 486-5000
Fax
(808) 486-5007
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD104 HI Primary
Hearing Instrument Specialist 237700000X HA133 HI

Addresses

Primary practice location

99-115 Aiea Heights Dr
#264
Aiea, HI 96701-3924

Mailing address

92-128 Amaui PL
Kapolei, HI 96707-2319
Phone (808) 672-5482

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
104HIMDOptometrist
AUD104HIMDAudiologist
HA133HIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Hawaii LLC Audiologist PastSince Jul 24, 2022 Accepting new patients
Audiology Associates Hawaii Audiologist PastSince Feb 18, 2014 Accepting new patients

Organizations & group practices 2

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1023003779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-128 AMAUI PL",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072319",
            "telephone_number": "808-672-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-115 AIEA HEIGHTS DR",
            "address_2": "#264",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013924",
            "telephone_number": "808-486-5000",
            "fax_number": "808-486-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIURA",
        "first_name": "CORIE",
        "middle_name": "AKI",
        "name_prefix": "Ms.",
        "credential": "MS CCC A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "HI",
            "license": "AUD104",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "HI",
            "license": "HA133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.