Individual provider Active NPI

Marinellie Braceros Malvar

  • Nursing Care Agency
  • Kapolei, HI
National Provider Identifier
1346734787
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Practice address
91-1580 Wahane St
Kapolei, HI 96707-3107
Phone
(808) 647-3689
Fax
(808) 680-9135
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

91-1580 Wahane St
Kapolei, HI 96707-3107

Mailing address

91-1580 Wahane St
Kapolei, HI 96707-3107
Phone (808) 647-3689

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

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1346734787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1580 WAHANE ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967073107",
            "telephone_number": "808-647-3689",
            "fax_number": "808-680-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1580 WAHANE ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967073107",
            "telephone_number": "808-647-3689",
            "fax_number": "808-680-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVAR",
        "first_name": "MARINELLIE",
        "middle_name": "BRACEROS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.