NPIMap

Organization Active NPI

Spectrum Healthcare Resources

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Aiea, HI
National Provider Identifier
1275518805
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
License
LPN-9589 Issued in HI
Legal business name
SPECTRUM HEALTHCARE RESOURCES
Practice address
98-340 Koauka Loop
Apt.124
Aiea, HI 96701-4443
Phone
(808) 486-1666
NPI assigned
Dec 6, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cheryl Naudin
Title
Client Service Manager
Phone
(808) 454-1480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X LPN-9589 HI Primary

Addresses

Primary practice location

98-340 Koauka Loop
Apt.124
Aiea, HI 96701-4443

Mailing address

98-340 Koauka Loop
Apt.124
Aiea, HI 96701-4443
Phone (808) 486-1666

National Provider Directory

National Provider Directory
Tax ID family
Teamhealth3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275518805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-340 KOAUKA LOOP",
            "address_2": "APT.124",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014443",
            "telephone_number": "808-486-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-340 KOAUKA LOOP",
            "address_2": "APT.124",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014443",
            "telephone_number": "808-486-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTHCARE RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAUDIN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CLIENT SERVICE MANAGER",
        "authorized_official_telephone_number": "808-454-1480"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "HI",
            "license": "LPN-9589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.