Active NPI
Korie Mijo
- Registered Nurse
- Kahuku, HI
National Provider Identifier
1114627429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN-110975-0
- Practice address
- 56-660 Kamehameha Hwy
Kahuku, HI 96731-2210 - Phone
- (808) 293-7555
- NPI assigned
- Mar 6, 2023
- Last updated
- Mar 6, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-110975-0 | HI | Primary |
Addresses
Primary practice location
56-660 Kamehameha Hwy
Kahuku, HI 96731-2210
Mailing address
94-321 Mahinahou St
Mililani, HI 96789-2112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN-110975-0 | Other | HI | REGISTERED LICENSE NUMBER |
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 |
|---|---|---|---|
| RN-110975-0 | HI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1114627429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-321 MAHINAHOU ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56-660 KAMEHAMEHA HWY",
"city": "KAHUKU",
"state": "HI",
"postal_code": "967312210",
"telephone_number": "808-293-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIJO",
"first_name": "KORIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "RN-110975-0",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED LICENSE NUMBER",
"identifier": "RN-110975-0",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kahuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.