Individual provider Active NPI

Madeline Sagun

  • Home Health Registered Nurse
  • Ewa Beach, HI
National Provider Identifier
1386298800
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN-83035 Issued in HI
Practice address
91-323 Hoalauna PL
Ewa Beach, HI 96706-5923
Phone
(808) 630-1627
Fax
(808) 687-3607
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN-83035 HI Primary

Addresses

Primary practice location

91-323 Hoalauna PL
Ewa Beach, HI 96706-5923

Mailing address

91-323 Hoalauna PL
Ewa Beach, HI 96706-5923
Phone (808) 630-1627

Other practice location 1

91-323 Hoalauna Pl
Ewa Beach, HI 96706-5923
Phone (808) 630-1627

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
RN-83035HIMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1386298800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-323 HOALAUNA PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065923",
            "telephone_number": "808-630-1627",
            "fax_number": "808-687-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-323 HOALAUNA PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065923",
            "telephone_number": "808-630-1627",
            "fax_number": "808-687-3607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91-323 Hoalauna Pl",
            "address_purpose": "LOCATION",
            "city": "Ewa Beach",
            "state": "HI",
            "postal_code": "967065923",
            "country_code": "US",
            "telephone_number": "808-630-1627",
            "fax_number": "808-687-3607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGUN",
        "first_name": "MADELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "HI",
            "license": "RN-83035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.