Kimberly G Mercado

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1-200058 Issued in HI

Practice address

91-112 Haloko PL
Ewa Beach, HI 96706-3922

Phone

(808) 428-1174

Fax

(808) 744-4397

NPI assigned

Feb 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1063166254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-112 HALOKO PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063922",
            "telephone_number": "808-428-1174",
            "fax_number": "808-744-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-112 HALOKO PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063922",
            "telephone_number": "808-428-1174",
            "fax_number": "808-744-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "KIMBERLY",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "HI",
            "license": "1-200058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phone",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Phone",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Phone",
            "address_1": "91-112 Haloko Pl",
            "city": "Ewa Beach",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967063922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Sipolt, Ma, LMFT
• Kevin Meno
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• Jasnie Mercado
• Michael a McMann M.D., LLC
• Midnight Sun Genl Medicine Clinic
• Anthony Michael Migura, MD
• Kimberly Ann Lokahi Milar, MSCP
• Aaron Miller

• In Home Supportive Care Agency in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• In Home Supportive Care Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.