Susan Hartman-Fukumoto

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN29907 Issued in HI

Practice address

4440 Makoi PL
Lihue, HI 96766-9008

Phone

(808) 635-2820

NPI assigned

May 15, 2019

Last updated

May 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1356907257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 MAKOI PL",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967669008",
            "telephone_number": "808-635-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 MAKOI PL",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967669008",
            "telephone_number": "808-635-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN-FUKUMOTO",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN29907",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "HI",
            "license": "RN29907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Bruce Harker, O.D.
• Marilyn Louise Harker
• Melani Harker, MD
• Ashley Harlacher
• Madelyn Harris
• Craig R Haruki, D.D.S.
• Layne S. Hashimoto, O.D.
• Hawaii Dental Group, Inc. (Hawaii Family Dental Centers-Kukui Grove)
• Hawaii Family Medical Centers (Kuhio Medical Center)
• Hawaii Home Infusion Associates, LTD.

• Registered Nurse in Lihue, HI
• Providers in Lihue, HI by specialty
• Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.