Individual provider Active NPI

Marlee Kaiulani Kealoha

  • Specialist
  • Honolulu, HI
National Provider Identifier
1225809486
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1300 Halona St
Honolulu, HI 96817-2796
Phone
(808) 847-3285
Fax
(808) 841-1485
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2686 HI
Specialist 174400000X Primary

Addresses

Primary practice location

1300 Halona St
Honolulu, HI 96817-2796

Mailing address

2439 Kapiolani Blvd Apt 202
Honolulu, HI 96826-4675
Phone (808) 754-0065

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
2686HIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1225809486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 KAPIOLANI BLVD APT 202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968264675",
            "telephone_number": "808-754-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HALONA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172796",
            "telephone_number": "808-847-3285",
            "fax_number": "808-841-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEALOHA",
        "first_name": "MARLEE",
        "middle_name": "KAIULANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "2686",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Jan 15, 2024; 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.