NPIMap

Organization Active NPI

Kapiolani Medical Center Early Intervention Program

  • Early Intervention Provider Agency
  • Aiea, HI
National Provider Identifier
1154680585
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
KAPIOLANI MEDICAL CENTER EARLY INTERVENTION PROGRAM
Practice address
99-080 Kauhale St
Aiea, HI 96701-4116
Phone
(808) 483-4906
NPI assigned
May 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Ms. Adrienne Mark, M.ED
Title
Program Manager
Phone
(808) 483-4912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

99-080 Kauhale St
Aiea, HI 96701-4116

Mailing address

99-080 Kauhale St
Aiea, HI 96701-4116
Phone (808) 483-4906

Other identifiers 1

IdentifierTypeStateIssuer
64710901MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Hawaii County Comm HLTH103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

99-080 Kauhale St
Aiea, HI 96701
Phone (808) 294-4783

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1154680585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-080 KAUHALE ST",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014116",
            "telephone_number": "808-483-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-080 KAUHALE ST",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014116",
            "telephone_number": "808-483-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPIOLANI MEDICAL CENTER EARLY INTERVENTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "808-483-4912",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64710901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.