Active NPI
Rosalie De Aquino, LPN
- Community Health Worker
- Waianae, HI
National Provider Identifier
1235521691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 1-150004
- Practice address
- 87-150 Lualei PL
Waianae, HI 96792-3652 - Phone
- (808) 343-0311
- Fax
- (808) 772-4016
- NPI assigned
- Feb 23, 2015
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 1-150004 | HI | Primary |
Addresses
Primary practice location
87-150 Lualei PL
Waianae, HI 96792-3652
Mailing address
87-150 Lualei Place
Waianae, HI 96792
Phone (808) 343-0311
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 |
|---|---|---|---|
| 1-150004 | HI | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1235521691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87-150 LUALEI PLACE",
"city": "WAIANAE",
"state": "HI",
"postal_code": "96792",
"telephone_number": "808-343-0311",
"fax_number": "808-772-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87-150 LUALEI PL",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967923652",
"telephone_number": "808-343-0311",
"fax_number": "808-772-4016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE AQUINO",
"first_name": "ROSALIE",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-23",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "HI",
"license": "1-150004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waianae, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.