Active NPI
Jessie Sabas Villanueva, PRIMARY CAREGIVER
- Nurse's Aide
- Waipahu, HI
National Provider Identifier
1366798019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- HI081013513
- Practice address
- 94-326 Hene St
Waipahu, HI 96797-1301 - Phone
- (808) 676-9418
- Fax
- (808) 676-9418
- NPI assigned
- Jul 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | HI081013513 | HI | Primary |
Addresses
Primary practice location
94-326 Hene St
Waipahu, HI 96797-1301
Mailing address
94-326 Hene St
Waipahu, HI 96797-1301
Phone (808) 676-9418
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
| License | State | Type | Specialty |
|---|---|---|---|
| HI081013513 | HI | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1366798019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-326 HENE ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967971301",
"telephone_number": "808-676-9418",
"fax_number": "808-676-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-326 HENE ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967971301",
"telephone_number": "808-676-9418",
"fax_number": "808-676-9418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "JESSIE",
"middle_name": "SABAS",
"name_prefix": "Mr.",
"credential": "PRIMARY CAREGIVER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-31",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "HI",
"license": "HI081013513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.