Nikole Marie Jeffries, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

200830473LPN Issued in OR

Practice address

480 Central Ave
Naval Health Clinic Hawai'I
Pearl Harbor, HI 96860

Phone

(541) 390-0029

NPI assigned

Feb 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1361059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1144560897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 SW PHEASANT DR",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970063838",
            "telephone_number": "541-390-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "address_2": "NAVAL HEALTH CLINIC HAWAI'I",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "96860",
            "telephone_number": "541-390-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "NIKOLE",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-17",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "200830473LPN",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "HI",
            "license": "LPN 17499",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP 60262043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Takako Imanaka, R.N.
• Jonathan Jacesko, OD
• Cameron L Jaks
• Benjamin Clarkson James, DPT
• Christopher John Jankosky, M.D.
• Justin Charles Jenks, R.N.
• Tyler Russell Johansen, DMD, MS
• James J Jones, LCDC
• Matthew Michael Justus, DO, MPH&TM
• Sandy Kaliko Kai, R.N.

• Licensed Practical Nurse in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• Licensed Practical Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.