Active NPI
Paullie Purdy X, LMT
- Specialist
- Lihue, HI
National Provider Identifier
1093178980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10354
- Practice address
- 3-1866 Kaumualii Hwy.
Lihue, HI 96766 - Phone
- (808) 333-3688
- NPI assigned
- Mar 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 10354 | HI | Primary |
Addresses
Primary practice location
3-1866 Kaumualii Hwy.
Lihue, HI 96766
Mailing address
5370 Kawaihau Rd.
Kapaa, HI 96746-1209
Phone (808) 346-9162
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 |
|---|---|---|---|
| 10354 | HI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1093178980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5370 KAWAIHAU RD.",
"city": "KAPAA",
"state": "HI",
"postal_code": "967461209",
"telephone_number": "808-346-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3-1866 KAUMUALII HWY.",
"city": "LIHUE",
"state": "HI",
"postal_code": "96766",
"telephone_number": "808-333-3688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY",
"first_name": "PAULLIE",
"name_prefix": "Ms.",
"name_suffix": "X",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "10354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.