Individual provider Active NPI

Nicole A Wadhwa-Schiff, DAC., LAC.

  • Acupuncturist
  • Kailua Kona, HI
National Provider Identifier
1316645179
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU-1393 Issued in HI
Practice address
75-5995 Kuakini Hwy Ste 602
Kailua Kona, HI 96740-2124
Phone
(808) 938-7473
Fax
(808) 333-5541
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU-1393 HI Primary

Addresses

Primary practice location

75-5995 Kuakini Hwy Ste 602
Kailua Kona, HI 96740-2124

Mailing address

75-5526 Kealia St
Holualoa, HI 96725-9613
Phone (808) 938-7473

Other identifiers 3

IdentifierTypeStateIssuer
006785OtherNYTHE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT
ACU-1393OtherHIDEPARTMENT OF COMMERCE & CONSUMER AFFAIRS PROFESSIONAL VOCATIONAL LICENSING
845203OtherNATIONAL CERTIFICATION COMMISSION FOR ACUPUNCTURE AND ORIENTAL MEDICINE (NCCAOM)

Other names 1

  • Nicole A Wadhwa Former name

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
ACU-1393HIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1316645179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5526 KEALIA ST",
            "city": "HOLUALOA",
            "state": "HI",
            "postal_code": "967259613",
            "telephone_number": "808-938-7473",
            "fax_number": "808-333-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5995 KUAKINI HWY STE 602",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402124",
            "telephone_number": "808-938-7473",
            "fax_number": "808-333-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADHWA-SCHIFF",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "DAC., LAC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "ACU-1393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT",
            "identifier": "006785",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF COMMERCE & CONSUMER AFFAIRS PROFESSIONAL VOCATIONAL LICENSING",
            "identifier": "ACU-1393",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION COMMISSION FOR ACUPUNCTURE AND ORIENTAL MEDICINE (NCCAOM)",
            "identifier": "845203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WADHWA",
            "middle_name": "A",
            "credential": "DAC., LAC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.