Organization Active NPI

Akamai Foot Doctor, LLC

  • Podiatrist
  • Honolulu, HI
National Provider Identifier
1194052589
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO152 Issued in HI
Legal business name
AKAMAI FOOT DOCTOR, LLC
Practice address
932 Ward Ave
Suite 400
Honolulu, HI 96814-2131
Phone
(808) 942-3644
Fax
(808) 955-7970
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Nathalie E Sowers, DPMNPI 1255351730
Title
Owner/Authorized Official
Phone
(808) 942-3644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO152 HI Primary

Addresses

Primary practice location

932 Ward Ave
Suite 400
Honolulu, HI 96814-2131

Mailing address

1380 Lusitana St
Suite 608
Honolulu, HI 96813-2449
Phone (808) 942-3644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100113000151 HI Part B Supplier - Clinic/Group Practice 7911048970 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI
O20100930006601 HI DME Supplier - Physician - Podiatry 7911048970 Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1319 Punahou St
Ste 620
Honolulu, HI 96826
Phone (808) 949-4558

1380 Lusitana St
Ste 608
Honolulu, HI 96813
Phone (808) 532-0315

707 Richards St
Ste 525
Honolulu, HI 96813

1441 Kapiolani Blvd
Ste 1103
Honolulu, HI 96814
Phone (808) 596-4840

932 Ward Ave
Ste 400
Honolulu, HI 96814
Phone (808) 942-3644

Practitioners & affiliated clinicians

Practitioners 2

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": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1194052589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 608",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-942-3644",
            "fax_number": "808-955-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 WARD AVE",
            "address_2": "SUITE 400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142131",
            "telephone_number": "808-942-3644",
            "fax_number": "808-955-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKAMAI FOOT DOCTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "SOWERS",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "808-942-3644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "HI",
            "license": "PO152",
            "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 Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.