Individual provider Active NPI

Nabrina Lynn Woelk

  • Massage Therapist
  • Hilo, HI
National Provider Identifier
1306664065
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
17587 Issued in HI
Practice address
688 Kinoole St Ste 208
Hilo, HI 96720-3869
Phone
(402) 709-3185
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 17587 HI Primary

Addresses

Primary practice location

688 Kinoole St Ste 208
Hilo, HI 96720-3869

Mailing address

688 Kinoole St Ste 208
Hilo, HI 96720-3869
Phone (402) 709-3185

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
17587HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Relax and Rejuvenate Massage Massage Therapist CurrentSince Oct 6, 2024 Accepting new patients
A Conscious Mind Theracoaching, PLLC Current Accepting new patients

Locations

688 Kinoole St
Ste 208
Hilo, HI 96720
Phone (402) 709-3185

Organizations & group practices 2

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": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1306664065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 KINOOLE ST STE 208",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203869",
            "telephone_number": "402-709-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 KINOOLE ST STE 208",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203869",
            "telephone_number": "402-709-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOELK",
        "first_name": "NABRINA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "17587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.