Individual provider Active NPI

Donna King, MA CCC-SLP

  • Speech-Language Pathologist
  • Honolulu, HI
National Provider Identifier
1174105076
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1891 Issued in HI
Practice address
520 Lunalilo Home
Unit 7203
Honolulu, HI 96825-1849
Phone
(808) 375-0615
Fax
(808) 396-1495
NPI assigned
Apr 21, 2021
Last updated
Apr 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-1891 HI Primary

Addresses

Primary practice location

520 Lunalilo Home
Unit 7203
Honolulu, HI 96825-1849

Mailing address

76-975B Aeo St
Kailua Kona, HI 96740-9770
Phone (808) 765-0966

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP-1891HIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
A. Ken Koseki, Jr., M.S., CCC-SLP, LLC Speech-Language Pathologist CurrentSince Mar 15, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1174105076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76-975B AEO ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967409770",
            "telephone_number": "808-765-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LUNALILO HOME",
            "address_2": "UNIT 7203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251849",
            "telephone_number": "808-375-0615",
            "fax_number": "808-396-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DONNA",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP-1891",
            "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 21, 2021; 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.