Active NPI
Emma Joy Serdenia Sumibcay
- Registered Nurse
- Hilo, HI
National Provider Identifier
1063737005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN-66265
- Practice address
- 1178 Kinoole St Ste B
Hilo, HI 96720-7206 - Phone
- (808) 969-1427
- Fax
- (808) 961-4909
- NPI assigned
- Apr 1, 2010
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-66265 | HI | Primary |
Addresses
Primary practice location
1178 Kinoole St Ste B
Hilo, HI 96720-7206
Mailing address
1178 Kinoole St Ste B
Hilo, HI 96720-7206
Phone (808) 969-1427
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-66265 | HI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1063737005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1178 KINOOLE ST STE B",
"city": "HILO",
"state": "HI",
"postal_code": "967207206",
"telephone_number": "808-969-1427",
"fax_number": "808-961-4909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1178 KINOOLE ST STE B",
"city": "HILO",
"state": "HI",
"postal_code": "967207206",
"telephone_number": "808-969-1427",
"fax_number": "808-961-4909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMIBCAY",
"first_name": "EMMA JOY",
"middle_name": "SERDENIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "RN-66265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.