Individual provider Active NPI

Sheilla-Mary Agbayani Villena, LMT

  • Specialist
  • Hilo, HI
National Provider Identifier
1114274610
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MAT-12618 Issued in HI
Practice address
93 Banyan Dr
Hilo, HI 96720-4632
Phone
(808) 987-3086
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MAT-12618 HI Primary

Addresses

Primary practice location

93 Banyan Dr
Hilo, HI 96720-4632

Mailing address

PO Box 10114
Hilo, HI 96721-5114
Phone (808) 987-3086

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

LicenseStateTypeSpecialty
MAT-12618HIMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1114274610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10114",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967215114",
            "telephone_number": "808-987-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 BANYAN DR",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204632",
            "telephone_number": "808-987-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLENA",
        "first_name": "SHEILLA-MARY",
        "middle_name": "AGBAYANI",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MAT-12618",
            "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 Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.