Individual provider Active NPI

Jamie Sedeno, MASSAGE THERAPIST

  • Massage Therapist
  • Honolulu, HI
National Provider Identifier
1124641352
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
1001 Waimanu St Ste D
Honolulu, HI 96814-3411
Phone
(808) 561-4734
NPI assigned
May 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

1001 Waimanu St Ste D
Honolulu, HI 96814-3411

Mailing address

411 Hobron LN Apt 2903
Honolulu, HI 96815-1217

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Rootedmassagehi@gmail.com

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

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1124641352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HOBRON LN APT 2903",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WAIMANU ST STE D",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143411",
            "telephone_number": "808-561-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDENO",
        "first_name": "JAMIE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rootedmassagehi@gmail.com",
            "affiliation": "N",
            "address_1": "1001 Waimanu St Ste D",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968143411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 21, 2020; 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.