Individual provider Active NPI

Lorraine Dormintes Basoc, RN

  • Home Health Registered Nurse
  • Honolulu, HI
National Provider Identifier
1154836328
Registry record updated Dec 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN-87963 Issued in HI
Practice address
1515 Dement St
Honolulu, HI 96819-4109
Phone
(808) 745-8741
NPI assigned
Dec 9, 2017
Last updated
Dec 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN-87963 HI Primary

Addresses

Primary practice location

1515 Dement St
Honolulu, HI 96819-4109

Mailing address

1515 Dement St
Honolulu, HI 96819-4109
Phone (808) 745-8741

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
RN-87963HIMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1512777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512777600000",
    "number": "1154836328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DEMENT ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194109",
            "telephone_number": "808-745-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 DEMENT ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194109",
            "telephone_number": "808-745-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASOC",
        "first_name": "LORRAINE",
        "middle_name": "DORMINTES",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-09",
        "last_updated": "2017-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "HI",
            "license": "RN-87963",
            "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 Dec 9, 2017; 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.