Rebecca Dulatre

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

HI020410872 Issued in HI

Practice address

86-401 Kawili St
Waianae, HI 96792-2945

Phone

(808) 393-7599

Fax

(808) 517-4483

NPI assigned

Apr 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Dulatre Professional name

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1154828721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-401 KAWILI ST",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922945",
            "telephone_number": "808-393-7599",
            "fax_number": "808-517-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-401 KAWILI ST",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922945",
            "telephone_number": "808-393-7599",
            "fax_number": "808-517-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULATRE",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "HI",
            "license": "HI020410872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "DULATRE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Justin Patrick Diego, AGPCNP-BC
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• Angela Michelle Dudoit, RBT
• Christopher Dung, DDS
• Liliana Mae Abigail Ebel
• Ekahi Integrated Practices West LLC (Ekahi Integrated Practices West - 200)
• Leane Jennypher Estenor Escosia, MD
• Tara Exner, MSCOT

• Nurse's Aide in Waianae, HI
• Providers in Waianae, HI by specialty
• Nurse's Aide in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.