Hayley Rose Clark, L.AC
Individual provider Active NPI Acupuncturist · Kahuku, HI
NPI 1114656733 · NPPES record last updated Jun 8, 2022
Key facts
- NPI
- 1114656733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 1346 (HI)
- Practice address
- 114 Main Camp
Kahuku, HI 96731 - Phone
- (609) 206-4316
- NPI assigned
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1346 | HI | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1346 | HI | Yes |
Addresses
Primary practice location
114 Main Camp
Kahuku, HI 96731
Mailing address
53-480 Kamehameha Hwy Apt G
Hauula, HI 96717-9717
Phone (609) 206-4316
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BEZ-AAC-1001 | Other | HI | AMERICAN ACUPUNCTURE COUNCIL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | truenaturehawaii.com | Direct |
Other providers in Kahuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.