Active NPI
Yamileth Jimenez Valencia, LMT
- Massage Therapist
- Honolulu, HI
National Provider Identifier
1104349356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAT-15187
- Practice address
- 932 Ward Ave Ste 600
Honolulu, HI 96814-2193 - Phone
- (808) 535-5555
- NPI assigned
- Jul 19, 2017
- 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-15187 | HI | Primary |
Addresses
Primary practice location
932 Ward Ave Ste 600
Honolulu, HI 96814-2193
Mailing address
92-7139 Elele St Apt 803
Kapolei, HI 96707-3386
Phone (904) 703-9664
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-15187 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manakai O Malama Integrative | 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 and National Provider Directory roles.
-
- Legal Medicine
- Honolulu, HI
- NPI 1578699799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500422400000",
"number": "1104349356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92-7139 ELELE ST APT 803",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967073386",
"telephone_number": "904-703-9664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 WARD AVE STE 600",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142193",
"telephone_number": "808-535-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ VALENCIA",
"first_name": "YAMILETH",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2017-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT-15187",
"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 Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.