Kathryn T Werneke, P.T.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

834 Issued in HI

Practice address

94-408 Akoki St
Suite 202
Waipahu, HI 96797-2733

Phone

(808) 676-5584

NPI assigned

Nov 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Parent Child Development Center Waipahu

  • Early Intervention Provider Agency
  • Waipahu, HI
  • NPI 1255608303
  NPD (past)
• Parent Child Development Center Waipahu

  • Early Intervention Provider Agency
  • Waipahu, HI
  • NPI 1558630418
  NPD (past)

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

{
    "created_epoch": "1478995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1114469889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1265 LUMIKULA ST # 1B",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974088",
            "telephone_number": "732-597-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-408 AKOKI ST",
            "address_2": "SUITE 202",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972733",
            "telephone_number": "808-676-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNEKE",
        "first_name": "KATHRYN",
        "middle_name": "T",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-13",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "HI",
            "license": "834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "646440001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Codey Allen Weeks
• James Weir
• Daniel Brian Weisbecker, DC
• John Seth Welden, L.AC.
• Wellness Core LLC
• Melodie Lynn Lekolani Wescott
• Wesley Y. Taira LCSW
• West Oahu Dental Care, Inc.
• West Oahu Orthopedics, Inc
• West Oahu Radiology LLC

• Early Intervention Provider Agency in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Early Intervention Provider Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.