Nancy Modumo, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

H1020412221 Issued in HI

Practice address

91-1088 Kaunolu St
Ewa Beach, HI 96706-2823

Phone

(808) 232-9202

Fax

(808) 689-4727

NPI assigned

Oct 9, 2024

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": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1346069010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1088 KAUNOLU ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062823",
            "telephone_number": "808-232-9202",
            "fax_number": "808-689-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1088 KAUNOLU ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062823",
            "telephone_number": "808-232-9202",
            "fax_number": "808-689-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODUMO",
        "first_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "HI",
            "license": "H1020412221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Mislang, MA
• Jon Misura
• Shannessy Mahealani Mitchell, MS KINESIOLOGY
• Lawrence Miyashiro, M.D.
• MK Transportation LLC
• Jarlette Elaine Montalvo, LSW
• Shonacee Montero, APRN-RX
• Timothy Hoon Moon, MD
• John Aaron Moore Jr.
• Kevin Charles Moran, MS

• Nurse's Aide in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Nurse's Aide in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.