Active NPI
Kimberly Ann Carvalho Jordao, LMT
- Massage Therapist
- Honolulu, HI
National Provider Identifier
1235389388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAT 10296
- Practice address
- 615 Piikoi St Ste 1601
Honolulu, HI 96814-3142 - Phone
- (808) 277-7434
- NPI assigned
- Sep 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAT 10296 | HI | Primary |
Addresses
Primary practice location
615 Piikoi St Ste 1601
Honolulu, HI 96814-3142
Mailing address
41-1446 Kumuula St
Waimanalo, HI 96795-1224
Phone (808) 277-7434
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
| License | State | Type | Specialty |
|---|---|---|---|
| MAT 10296 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1235389388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41-1446 KUMUULA ST",
"city": "WAIMANALO",
"state": "HI",
"postal_code": "967951224",
"telephone_number": "808-277-7434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 PIIKOI ST STE 1601",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968143142",
"telephone_number": "808-277-7434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAO",
"first_name": "KIMBERLY",
"middle_name": "ANN CARVALHO",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAT 10296",
"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 Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.