Individual provider Active NPI

Emily Victoria Kaleinani Reaveley

  • Speech-Language Pathologist
  • Honolulu, HI
National Provider Identifier
1205538170
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-2215-0 Issued in HI
Practice address
725 Kapiolani Blvd Ste C206
Honolulu, HI 96813-6024
Phone
(808) 596-0099
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-2215-0 HI Primary

Addresses

Primary practice location

725 Kapiolani Blvd Ste C206
Honolulu, HI 96813-6024

Mailing address

91-1199 Kaneana St Apt G
Ewa Beach, HI 96706-4732
Phone (801) 706-3663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SP-2215-0HIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Pathology of Hawaii LLC Speech-Language Pathologist CurrentSince Mar 26, 2023 Accepting new patients
Therapy Solutions LLC Speech-Language Pathologist CurrentSince Mar 26, 2023 Accepting new patients

Locations

725 Kapiolani Blvd
Ste C206
Honolulu, HI 96813
Phone (808) 596-0099

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1205538170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1199 KANEANA ST APT G",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064732",
            "telephone_number": "801-706-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 KAPIOLANI BLVD STE C206",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136024",
            "telephone_number": "808-596-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVELEY",
        "first_name": "EMILY",
        "middle_name": "VICTORIA KALEINANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP-2215-0",
            "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 Mar 21, 2023; 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.