Active NPI
Jennifer C Ban, OT
- Occupational Therapist
- Kahului, HI
National Provider Identifier
1194931121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 167
- Practice address
- 472 Kaulana St
Kahului, HI 96732-2050 - Phone
- (808) 877-2761
- NPI assigned
- May 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 167 | HI | Primary |
Addresses
Primary practice location
472 Kaulana St
Kahului, HI 96732-2050
Mailing address
175 Molokai Akau St
Kahului, HI 96732-2824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000251900 | Other | HI | HMSA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167 | HI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venture Physical Therapy LLC | Current | Accepting new patients | |
| Venture Physical Therapy LLC | Current | Accepting new patients | |
| Venture Physical Therapy LLC | Current | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194931121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MOLOKAI AKAU ST",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967322824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "472 KAULANA ST",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967322050",
"telephone_number": "808-877-2761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAN",
"first_name": "JENNIFER",
"middle_name": "C",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "HI",
"license": "167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000251900",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.