Adrienne Celine San Diego Cruz, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1869 Issued in HI

Practice address

161 S Wakea Ave
Kahului, HI 96732-1343

Phone

(808) 244-7467

NPI assigned

Jul 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Adrienne Celine Cruz Pasman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Imua Family Services

  • Early Intervention Provider Agency
  • Kahului, HI
  • NPI 1871936617
  NPD (past)
• Kapiolani Medical Center for Women & Children

  • Community/Retail Pharmacy
  • Honolulu, HI
  • NPI 1841263720
  NPD (past)

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1306455175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 POND RUN CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882179",
            "telephone_number": "734-968-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 S WAKEA AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321343",
            "telephone_number": "808-244-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ADRIENNE CELINE",
        "middle_name": "SAN DIEGO",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "1869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE CELINE",
            "last_name": "PASMAN",
            "middle_name": "CRUZ",
            "prefix": "MRS.",
            "credential": "M.S. CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Alaina Craft, RBT
• Rita Crane
• Crscp Maui Inc
• Mary Patricia Culligan, OTR/L, SWC
• Anjelica Cultura
• Peter Cumbo, RBT
• Ian Cunningham
• Robert Ronnie Boregas Dalut, PT

• All providers in Kahului, HI
• Speech-Language Pathologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.