Individual provider Active NPI

Kim K Miyashiro, RN

  • Case Management Registered Nurse
  • Tripler Army Medical Center, HI
National Provider Identifier
1043981822
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN-43520 Issued in HI
Practice address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone
(808) 433-9233
Fax
(808) 433-3687
NPI assigned
Sep 22, 2021
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN-43520 HI Primary

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001

Mailing address

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-9233

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address kim.k.miyashiro.civ@mail.mil
CONNECT URL kim.k.miyashiro.civ@mail.mil, AMC TRIPLER-SHAFTER
CONNECT URL kim.k.miyashiro.civ@mail.mil, AMC TRIPLER-SHAFTER
Direct Messaging Address kim.k.miyashiro.civ@mail.mil AMC TRIPLER-SHAFTER

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-43520HIMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1043981822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-9233",
            "fax_number": "808-433-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-9233",
            "fax_number": "808-433-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYASHIRO",
        "first_name": "KIM",
        "middle_name": "K",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "HI",
            "license": "RN-43520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim.k.miyashiro.civ@mail.mil",
            "affiliation": "N",
            "address_1": "1 Jarrett White Rd",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968595001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kim.k.miyashiro.civ@mail.mil,",
            "affiliation": "Y",
            "affiliationName": "AMC TRIPLER-SHAFTER",
            "address_1": "1 Jarrett White Rd",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968595001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kim.k.miyashiro.civ@mail.mil,",
            "affiliation": "Y",
            "affiliationName": "AMC TRIPLER-SHAFTER",
            "address_1": "1 Jarrett White Rd",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968595001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim.k.miyashiro.civ@mail.mil",
            "affiliation": "Y",
            "affiliationName": "AMC TRIPLER-SHAFTER",
            "address_1": "1 Jarrett White Rd",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968595001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tripler Army Medical Center, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.