Nicole Cardillo, OT/CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

0119003304 Issued in VA

Practice address

95-390 Kuahelani Ave
1C
Mililani, HI 96789-1192

Phone

(808) 445-4428

Fax

(806) 637-9592

NPI assigned

Jul 7, 2005

Last updated

Apr 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vann Virginia Center for Orthopaedics

  dba Atlantic Orthopaedic Specialists

  • Physical Therapist
  • Norfolk, VA
  • NPI 1447565858
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1144227091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1654 BURKE ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062049",
            "telephone_number": "808-285-5457",
            "fax_number": "757-321-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE",
            "address_2": "1C",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-445-4428",
            "fax_number": "806-637-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDILLO",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "OT/CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "VA",
            "license": "0119003304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "278740",
            "identifier": "ANTHEM BC/BS",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C05501",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiana Cantero-Kawelo
• Karren Caparas, CNA
• Alex Samuel Carcamo, M.D.
• Shayna Carcieri
• Jessica Cardenas
• Kylie Caitlin Carganilla, DMD
• Carlos a. Omphroy, M.D., Inc.
• Erika Carlson
• Kishanna Carr
• Bridget Ellen Carranza, LMFT

• Hand Occupational Therapist in Mililani, HI
• Providers in Mililani, HI by specialty
• Hand Occupational Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.