Individual provider Active NPI

Kristine-Jovie Dumo Cabajar, LPN

  • Licensed Practical Nurse
  • Wailuku, HI
National Provider Identifier
1285860072
Registry record updated Jun 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
11541 Issued in HI
Practice address
1016 Makaala Dr
Wailuku, HI 96793-9453
Phone
(808) 268-5819
NPI assigned
Jun 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 11541 HI Primary

Addresses

Primary practice location

1016 Makaala Dr
Wailuku, HI 96793-9453

Mailing address

1016 Makaala Dr
Wailuku, HI 96793-9453
Phone (808) 268-5819

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

State licenses

LicenseStateTypeSpecialty
11541HIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1244332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244332800000",
    "number": "1285860072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 MAKAALA DR",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967939453",
            "telephone_number": "808-268-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MAKAALA DR",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967939453",
            "telephone_number": "808-268-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABAJAR",
        "first_name": "KRISTINE-JOVIE",
        "middle_name": "DUMO",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-07",
        "last_updated": "2009-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "HI",
            "license": "11541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2009; 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.