Petra Meedt, LPA (TEXAS)

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6945 Issued in PR

Practice address

224 Kamehameha Ave
Hilo, HI 96720-2860

Phone

(787) 247-5445

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1285208728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 12026",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006709011",
            "telephone_number": "939-402-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 KAMEHAMEHA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202860",
            "telephone_number": "787-247-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEDT",
        "first_name": "PETRA",
        "credential": "LPA (TEXAS)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.pauhanacounseling.com",
            "affiliation": "Y",
            "affiliationName": "Pau Hana Counseling, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "For Referrals",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Initial Referral Request",
            "address_1": "224 Kamehameha Ave",
            "city": "Hilo",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967202860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donnalyn L Medeiros
• Kaydee Medeiros, PA-C, MCHS
• Medical Housecalls Hawaii
• Medipharm Pharmacy LLC
• Chloe Medrano
• Jackie L. Meister, CNM
• Kenton J Mejia
• Sara Petrina Joy Melendez
• Melissa K Kanemitsu LMFT
• Melissa K. Kuwahara MD., LLC

• Psychologist in Hilo, HI
• Providers in Hilo, HI by specialty
• Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.