Victoria Villalba

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAT-17474 Issued in HI

Practice address

970 N Kalaheo Ave Ste C315
Kailua, HI 96734-1883

Phone

(808) 254-5577

Fax

(808) 254-5579

NPI assigned

Jun 27, 2024

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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

• Windward Wellness LLC

  • Chiropractor
  • Kailua, HI
  • NPI 1770798266
  NPD
• Tara Tedrick DC LLC

  • Chiropractor
  • Kailua, HI
  • NPI 1811126006
  NPD (past)

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1194560458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE C315",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341883",
            "telephone_number": "808-254-5577",
            "fax_number": "808-254-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE C315",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341883",
            "telephone_number": "808-254-5577",
            "fax_number": "808-254-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALBA",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-17474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yekaterina Vernikov, CCC-SLP
• Mark Scott Verschell, PSY.D.
• Susan M Vicenti, MD
• Sanae Vierra, LMT
• Jakriz Villahermosa, BCBA
• Tracey Lea Villiger, PT
• Seul Ki Villoria
• Judy Makowski Vincent, M.D.
• Kayla Yukie Vincent
• Virtual Bcba LLC

• Massage Therapist in Kailua, HI
• Providers in Kailua, HI by specialty
• Massage Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.