Active NPI
Lavonda Nakamoto, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Honolulu, HI
National Provider Identifier
1376599662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 12941
- Practice address
- 459 Patterson Rd
Cfa
Honolulu, HI 96819-1522 - Phone
- (808) 433-0224
- Fax
- (808) 433-0281
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD12941 | HI | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 12941 | HI | Primary |
Addresses
Primary practice location
459 Patterson Rd
Cfa
Honolulu, HI 96819-1522
Mailing address
459 Patterson Rd
Cfa
Honolulu, HI 96819-1522
Phone (808) 433-0224
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 554817-02 | Medicaid | HI | |
| 554817-01 | Medicaid | HI |
Other names 1
- Dr. Lavonda Mee-Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160405001737 | HI | Order and Referring Only - Geriatric Medicine | 7315913472 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12941 | HI | MD | Specialist |
| 12941 | HI | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1376599662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 PATTERSON RD",
"address_2": "CFA",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191522",
"telephone_number": "808-433-0224",
"fax_number": "808-433-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 PATTERSON RD",
"address_2": "CFA",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191522",
"telephone_number": "808-433-0224",
"fax_number": "808-433-0281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAMOTO",
"first_name": "LAVONDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "MD12941",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "HI",
"license": "12941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "554817-02",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "554817-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAVONDA",
"last_name": "MEE-LEE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.