Jolyn a Rose, L.Ac, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

998 Issued in HI

Legal business name

JOLYN A ROSE, L.AC, LLC

Practice address

4544 Kukui St
Kapaa, HI 96746-1716

Phone

(808) 639-3070

NPI assigned

Jan 17, 2018

Last updated

Jan 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jolyn RoseNPI 1699057380

Title

Acupuncturist

Phone

(808) 639-3070

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jolyn Rose, L.AC

  • Acupuncturist
  • Kapa'a, HI
  • NPI 1699057380
  NPD (past) Authorized official

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1194233668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967540441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4544 KUKUI ST",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461716",
            "telephone_number": "808-639-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLYN A ROSE, L.AC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JOLYN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "808-639-3070"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Kapa'a, HI
• Providers in Kapa'a, HI by specialty
• Acupuncturist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.