Individual provider Active NPI

Rafael Campano, RN

  • Registered Nurse
  • Mililani, HI
National Provider Identifier
1356768709
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
76797 Issued in HI
Practice address
95-330 Mahapili CT
#174
Mililani, HI 96789-1437
Phone
(808) 627-5008
NPI assigned
Mar 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 76797 HI Primary

Addresses

Primary practice location

95-330 Mahapili CT
#174
Mililani, HI 96789-1437

Mailing address

95-330 Mahapili CT
#174
Mililani, HI 96789-1437
Phone (808) 627-5008

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
76797HIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1356768709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-330 MAHAPILI CT",
            "address_2": "#174",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891437",
            "telephone_number": "808-627-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-330 MAHAPILI CT",
            "address_2": "#174",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891437",
            "telephone_number": "808-627-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANO",
        "first_name": "RAFAEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "76797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.