Individual provider Active NPI

Judith E Nomura, M.A. CCC-SLP, ATP

  • Speech-Language Pathologist
  • Waipahu, HI
National Provider Identifier
1265888481
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
504 Issued in HI
Practice address
94-428 Mokuola St
#305A
Waipahu, HI 96797-6300
Phone
(808) 382-5008
NPI assigned
May 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 504 HI Primary
Speech-Language Pathologist 235Z00000X 9297 CA

Addresses

Primary practice location

94-428 Mokuola St
#305A
Waipahu, HI 96797-6300

Mailing address

2499 Kapiolani Blvd
Apt. 2308
Honolulu, HI 96826-5310
Phone (808) 225-5959

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9297CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1265888481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 KAPIOLANI BLVD",
            "address_2": "APT. 2308",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968265310",
            "telephone_number": "808-225-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-428 MOKUOLA ST",
            "address_2": "#305A",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976300",
            "telephone_number": "808-382-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOMURA",
        "first_name": "JUDITH",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC-SLP, ATP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "504",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "9297",
            "primary": false
        }
    ],
    "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 May 6, 2016; 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.