Gwen Mikasa

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

657 Issued in HI

Practice address

Office of Student Support Medicaid Reimbursement
475 22ND Ave, BLDG 302, Room 101
Honolulu, HI 96816

Phone

(808) 305-9750

NPI assigned

Sep 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1184272007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OFFICE OF STUDENT SUPPORT MEDICAID REIMBURSEMENT",
            "address_2": "475 22ND AVE, BLDG 302, ROOM 101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-305-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OFFICE OF STUDENT SUPPORT MEDICAID REIMBURSEMENT",
            "address_2": "475 22ND AVE, BLDG 302, ROOM 101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-305-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKASA",
        "first_name": "GWEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan D. Mih, M.D.
• Mihae Yu M.D. Inc.
• Brian Y. Mihara
• Dean J. Mikami, M.D.
• Ian T Mikami, PHARMD
• Miki Medical Associates, Inc
• Miki Shirakawa Garcia, MD LLC
• Kinue Miki, M.D.
• Miles Makana Miki, DO
• Nobuyuki Miki, M.D.

• Speech-Language Pathologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.