Organization Active NPI

Kristi Tanaka LLC

  • Clinical Social Worker
  • Kaneohe, HI
National Provider Identifier
1326890708
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KRISTI TANAKA LLC
Practice address
45-270 William Henry Rd Ste 207
Kaneohe, HI 96744-5808
Phone
(808) 379-3031
NPI assigned
Apr 1, 2024
Organization subpart
Yes
Parent organization
KRISTI TANAKA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Dr. Kristi Tanaka, PSYD, LCSWNPI 1033350251
Title
Owner
Phone
(808) 374-0094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

45-270 William Henry Rd Ste 207
Kaneohe, HI 96744-5808

Mailing address

21739 Hardy Oak Blvd Apt 6307
San Antonio, TX 78258-2381
Phone (808) 220-8044

National Provider Directory

National Provider Directory
Part of
Kristi Tanaka LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1326890708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21739 HARDY OAK BLVD APT 6307",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582381",
            "telephone_number": "808-220-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-270 WILLIAM HENRY RD STE 207",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967445808",
            "telephone_number": "808-379-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI TANAKA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KRISTI TANAKA LLC",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "TANAKA",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-374-0094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

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