Alyssa Marie Tagata

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

18962 Issued in HI

Practice address

91-213 Kaieleele PL
Ewa Beach, HI 96706-4617

Phone

(808) 238-9011

NPI assigned

Apr 25, 2019

Last updated

Apr 25, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1295399103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-213 KAIELEELE PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064617",
            "telephone_number": "808-238-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-213 KAIELEELE PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064617",
            "telephone_number": "808-238-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGATA",
        "first_name": "ALYSSA MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "HI",
            "license": "18962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgical First Assist Services Hawaii LLC
• Sutter Health Pacific (Kahi Mohala Hospital)
• Sutter Health Pacific (Sutter Health Kahi Mohala)
• Trenna Sykes-Hebert
• Melanie Tablit
• Suzan G Taha I
• Tak Properties, LLC. (Spinatherapy, LLC.)
• Darcie Marie Takemoto, D.O.
• Keith Hiromi Takeshita
• Grant H Takiguchi, PT

• Licensed Practical Nurse in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Licensed Practical Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.