Individual provider Active NPI

Ksizle Ulandez

  • Foster Care Agency
  • Waipahu, HI
National Provider Identifier
1235827635
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
I-220095 Issued in HI
Practice address
94-706 Kaaoki PL
Waipahu, HI 96797-1211
Phone
(808) 200-7681
NPI assigned
Apr 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X I-220095 HI Primary

Addresses

Primary practice location

94-706 Kaaoki PL
Waipahu, HI 96797-1211

Mailing address

94-706 Kaaoki PL
Waipahu, HI 96797-1211
Phone (808) 200-7681

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
I-220095HIMDFoster Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1235827635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-706 KAAOKI PL",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971211",
            "telephone_number": "808-200-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-706 KAAOKI PL",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971211",
            "telephone_number": "808-200-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULANDEZ",
        "first_name": "KSIZLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "HI",
            "license": "I-220095",
            "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 Apr 25, 2023; 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.