Individual provider Active NPI

Sosefina Tive Nepo

  • Specialist
  • Pearl City, HI
National Provider Identifier
1043630841
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1060 Kam Hwy Apt 102B
Pearl City, HI 96782-2840
Phone
(808) 358-1849
NPI assigned
Apr 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X HI Primary

Addresses

Primary practice location

1060 Kam Hwy Apt 102B
Pearl City, HI 96782-2840

Mailing address

1060 Kam Hwy Apt 102B
Pearl City, HI 96782-2840
Phone (808) 358-1849

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

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1043630841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 KAM HWY APT 102B",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822840",
            "telephone_number": "808-358-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 KAM HWY APT 102B",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822840",
            "telephone_number": "808-358-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPO",
        "first_name": "SOSEFINA",
        "middle_name": "TIVE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.