Active NPI
Kathleen A Commendador, NP
- Nurse Practitioner
- Kamuela, HI
National Provider Identifier
1063504256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 52
- Practice address
- 65-1267 Kawaihae Rd
Kamuela, HI 96743-8406 - Phone
- (808) 885-9606
- Fax
- (808) 885-9506
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 52 | HI | Primary |
Addresses
Primary practice location
65-1267 Kawaihae Rd
Kamuela, HI 96743-8406
Mailing address
PO Box 2799
Kamuela, HI 96743-2799
Phone (808) 885-9606
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52 | HI | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063504256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2799",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967432799",
"telephone_number": "808-885-9606",
"fax_number": "808-885-9506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65-1267 KAWAIHAE RD",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438406",
"telephone_number": "808-885-9606",
"fax_number": "808-885-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMMENDADOR",
"first_name": "KATHLEEN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "HI",
"license": "52",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kamuela, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.