Individual provider Active NPI

Lyndon Redona, I

  • Nursing Facility/Intermediate Care Facility
  • Waipahu, HI
National Provider Identifier
1225573124
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
1-160075 Issued in HI
Practice address
94-1065 Lumiaina St
Waipahu, HI 96797-3912
Phone
(808) 368-2510
NPI assigned
Dec 30, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 1-160075 HI Primary

Addresses

Primary practice location

94-1065 Lumiaina St
Waipahu, HI 96797-3912

Mailing address

94-1065 Lumiaina St
Waipahu, HI 96797-3912
Phone (808) 368-2510

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
1-160075HIMDNursing Facility/Intermediate Care Facility

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1225573124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1065 LUMIAINA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973912",
            "telephone_number": "808-368-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1065 LUMIAINA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973912",
            "telephone_number": "808-368-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDONA",
        "first_name": "LYNDON",
        "credential": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "HI",
            "license": "1-160075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.