Individual provider Active NPI

Regina Garrievna Campanelli, RN, BSN, IBCLC

  • Registered Nurse
  • Kailua, HI
National Provider Identifier
1275047458
Registry record updated Nov 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
83189 Issued in HI
Practice address
640 Ulukahiki St
Kailua, HI 96734-4454
Phone
(808) 263-5500
NPI assigned
Nov 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-110119 VA
Registered Nurse 163W00000X 83189 HI Primary

Addresses

Primary practice location

640 Ulukahiki St
Kailua, HI 96734-4454

Mailing address

2645 Stowell Cir
Honolulu, HI 96818-3805
Phone (619) 922-0468

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherTRI-CARE

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
83189HIMDRegistered Nurse
L-110119VAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1511654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511654400000",
    "number": "1275047458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 STOWELL CIR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183805",
            "telephone_number": "619-922-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ULUKAHIKI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344454",
            "telephone_number": "808-263-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANELLI",
        "first_name": "REGINA",
        "middle_name": "GARRIEVNA",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-26",
        "last_updated": "2017-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "L-110119",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "83189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2017; 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.