Individual provider Active NPI

Kathryn Anne Shawhan, OTR

  • Occupational Therapist
  • Honolulu, HI
National Provider Identifier
1275804429
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-181 Issued in HI
Practice address
725 Kapiolani Blvd
C124
Honolulu, HI 96813-6012
Phone
(808) 596-4650
Fax
(808) 596-4651
NPI assigned
Jan 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-181 HI Primary

Addresses

Primary practice location

725 Kapiolani Blvd
C124
Honolulu, HI 96813-6012

Mailing address

PO Box 25685
Honolulu, HI 96825-0685
Phone (808) 596-4650

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

State licenses

LicenseStateTypeSpecialty
OT-181HIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Therapy, Inc PastSince Aug 15, 2005 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1275804429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25685",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250685",
            "telephone_number": "808-596-4650",
            "fax_number": "808-596-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 KAPIOLANI BLVD",
            "address_2": "C124",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136012",
            "telephone_number": "808-596-4650",
            "fax_number": "808-596-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWHAN",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT-181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.