Individual provider Active NPI

Glorimar Canedo Carrasquillo, IBCLC, LPN

  • Lactation Consultant (Non-RN)
  • Honolulu, HI
National Provider Identifier
1366304248
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
1001 Bishop St Ste 2685a
Honolulu, HI 96813-3404
Phone
(808) 232-1912
NPI assigned
Nov 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN-21429-0 HI
Lactation Consultant (Non-RN) 174N00000X Primary

Addresses

Primary practice location

1001 Bishop St Ste 2685a
Honolulu, HI 96813-3404

Mailing address

1001 Bishop St Ste 2685a
Honolulu, HI 96813-3404
Phone (808) 232-1912

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

State licenses

LicenseStateTypeSpecialty
LPN-21429-0HIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1764288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1366304248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BISHOP ST STE 2685A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133404",
            "telephone_number": "808-232-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BISHOP ST STE 2685A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133404",
            "telephone_number": "808-232-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANEDO CARRASQUILLO",
        "first_name": "GLORIMAR",
        "credential": "IBCLC, LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-28",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "HI",
            "license": "LPN-21429-0",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; 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.