Active NPI
Marilou G Nakagawa, MAT-15629, LMT
- Massage Therapist
- Honolulu, HI
National Provider Identifier
1093279598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15629
- Practice address
- 1281 S King St
Honolulu, HI 96814-2254 - Phone
- (808) 593-8866
- Fax
- (808) 593-8035
- NPI assigned
- Jan 29, 2019
- Last updated
- Jan 29, 2019
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 15629 | HI | Primary |
Addresses
Primary practice location
1281 S King St
Honolulu, HI 96814-2254
Mailing address
1281 S King St
Honolulu, HI 96814-2254
Phone (808) 497-2323
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 |
|---|---|---|---|
| 15629 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thai-Issan Therapeutic Massage, LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Thai-Issan Massage Academy
- Massage Therapist
- Honolulu, HI
- NPI 1457724387
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1093279598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1281 S KING ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142254",
"telephone_number": "808-497-2323",
"fax_number": "808-593-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1281 S KING ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142254",
"telephone_number": "808-593-8866",
"fax_number": "808-593-8035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAGAWA",
"first_name": "MARILOU",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "MAT-15629, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "15629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.