Individual provider Active NPI

Asako Miyazaki Michaelson, BS.,MAT-13954

  • Contractor
  • Kihei, HI
National Provider Identifier
1215382932
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MAT-13954 Issued in HI
Practice address
221 Piikea Ave
Kihei, HI 96753-8268
Phone
(808) 268-2684
Fax
(866) 799-7374
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MAT-13954 HI Primary

Addresses

Primary practice location

221 Piikea Ave
Kihei, HI 96753-8268

Mailing address

129 Hone St
Kahului, HI 96732-1421
Phone (808) 250-8177

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
MAT-13954HIMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1215382932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 HONE ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321421",
            "telephone_number": "808-250-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PIIKEA AVE",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538268",
            "telephone_number": "808-268-2684",
            "fax_number": "866-799-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELSON",
        "first_name": "ASAKO",
        "middle_name": "MIYAZAKI",
        "name_prefix": "Mrs.",
        "credential": "BS.,MAT-13954",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "HI",
            "license": "MAT-13954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.