Active NPI
Stacy Lee Nalani Zane
- Massage Therapist
- Makawao, HI
National Provider Identifier
1093514697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAT-11992
- Practice address
- 40 Kupaoa St Unit B-101
Makawao, HI 96768-6215 - Phone
- (808) 707-2040
- NPI assigned
- Mar 7, 2025
- 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 | MAT-11992 | HI | Primary |
Addresses
Primary practice location
40 Kupaoa St Unit B-101
Makawao, HI 96768-6215
Mailing address
PO Box 1024
Makawao, HI 96768-1024
Phone (808) 707-2040
Other practice location 1
24 N Church St Ste 206
Wailuku, HI 96793-1606
Phone (808) 707-2040
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 |
|---|---|---|---|
| MAT-11992 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1093514697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1024",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967681024",
"telephone_number": "808-707-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 KUPAOA ST UNIT B-101",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967686215",
"telephone_number": "808-707-2040"
}
],
"practiceLocations": [
{
"address_1": "24 N Church St Ste 206",
"address_purpose": "LOCATION",
"city": "Wailuku",
"state": "HI",
"postal_code": "967931606",
"country_code": "US",
"telephone_number": "808-707-2040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZANE",
"first_name": "STACY",
"middle_name": "LEE NALANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-07",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT-11992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Makawao, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.