Individual provider Active NPI

Relly Pacris Cabuyadao, CNA

  • Nurse's Aide
  • Hilo, HI
National Provider Identifier
1134548944
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
HI040906287 Issued in HI
Practice address
2177B Awapuhi St
Hilo, HI 96720-6534
Phone
(808) 315-7118
Fax
(808) 315-7118
NPI assigned
Apr 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X HI040906287 HI Primary

Addresses

Primary practice location

2177B Awapuhi St
Hilo, HI 96720-6534

Mailing address

2177B Awapuhi St
Hilo, HI 96720-6534
Phone (808) 315-7118

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
HI040906287HIMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1134548944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177B AWAPUHI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967206534",
            "telephone_number": "808-315-7118",
            "fax_number": "808-315-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177B AWAPUHI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967206534",
            "telephone_number": "808-315-7118",
            "fax_number": "808-315-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABUYADAO",
        "first_name": "RELLY",
        "middle_name": "PACRIS",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "HI",
            "license": "HI040906287",
            "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 Apr 9, 2014; 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.