Alicia Renee Schillewaert

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Practice address

15-1398 20TH Ave
Keaau, HI 96749

Phone

(763) 280-0514

NPI assigned

May 21, 2021

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

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1225603434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 5518",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967498502",
            "telephone_number": "763-280-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-1398 20TH AVE",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "96749",
            "telephone_number": "763-280-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLEWAERT",
        "first_name": "ALICIA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Sako-Long
• Lindsay Ellice Sanchez, APRN
• Ydine Elena Sandberg, MA. SLP-CCC
• Jasmyne Sato, RPH
• Jose Aurelio Saucedo, ATC
• Mark G Schultz, NURSE PRACTITIONER
• Katrina A Scott, LPN
• Courtney Sen
• Jacqueline Shea
• Ned Ken Shimabukuro, PT

• Mental Illness Community Based Residential Treatment Facility in Keaau, HI
• Providers in Keaau, HI by specialty
• Mental Illness Community Based Residential Treatment Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.