Individual provider Active NPI

Jennifer Marie Velo, RN

  • Registered Nurse
  • Honolulu, HI
National Provider Identifier
1154549210
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
977497 Issued in TX
Practice address
1357 Kapiolani Blvd Ste 915
Honolulu, HI 96814-4538
Phone
(808) 951-0111
NPI assigned
Apr 23, 2007
Reactivated
Apr 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-103382 HI
Registered Nurse 163W00000X RN95239440 CA
Recreation Therapist 225800000X TX
Registered Nurse 163W00000X 977497 TX Primary

Addresses

Primary practice location

1357 Kapiolani Blvd Ste 915
Honolulu, HI 96814-4538

Mailing address

44-116 Keaalau PL
Kaneohe, HI 96744-2531
Phone (830) 446-1229

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN95239440CAMDRegistered Nurse
RN-103382HIMDRegistered Nurse
977497TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1154549210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44-116 KEAALAU PL",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442531",
            "telephone_number": "830-446-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 KAPIOLANI BLVD STE 915",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144538",
            "telephone_number": "808-951-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "deactivation_date": "2022-03-22",
        "reactivation_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-103382",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95239440",
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "977497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 13, 2022; 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.