Active NPI
Nina Summers, MT
- Massage Therapist
- Waialua, HI
National Provider Identifier
1275803090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LMT 12326
- Practice address
- 68-090 Au St
#512E
Waialua, HI 96791-9451 - Phone
- (808) 224-3548
- Fax
- (808) 440-5617
- NPI assigned
- Jan 10, 2012
- Last updated
- Nov 6, 2013
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LMT 12326 | HI | Primary |
Addresses
Primary practice location
68-090 Au St
#512E
Waialua, HI 96791-9451
Mailing address
68-090 Au St
#512E
Waialua, HI 96791-9451
Phone (808) 224-3548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMT 12326 | Other | HI | STATE OF HI |
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
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMT 12326 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1275803090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68-090 AU ST",
"address_2": "#512E",
"city": "WAIALUA",
"state": "HI",
"postal_code": "967919451",
"telephone_number": "808-224-3548",
"fax_number": "808-440-5617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68-090 AU ST",
"address_2": "#512E",
"city": "WAIALUA",
"state": "HI",
"postal_code": "967919451",
"telephone_number": "808-224-3548",
"fax_number": "808-440-5617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "NINA",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-10",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "LMT 12326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF HI",
"identifier": "LMT 12326",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waialua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.