Individual provider Active NPI

Lee Ann O.S. Nakamoto, LCSW

  • Clinical Social Worker
  • Pearl City, HI
National Provider Identifier
1396176798
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3899 Issued in HI
Practice address
98-1256 Kaahumanu St # E301
Pearl City, HI 96782-3282
Phone
(808) 484-4489
Fax
(808) 484-4494
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3899 HI Primary

Addresses

Primary practice location

98-1256 Kaahumanu St # E301
Pearl City, HI 96782-3282

Mailing address

98-222 Puaalii St
Aiea, HI 96701

Other names 1

  • Miss Lee Ann Okido Shimabuku Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3899HIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1396176798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-222 PUAALII ST",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "96701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1256 KAAHUMANU ST # E301",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823282",
            "telephone_number": "808-484-4489",
            "fax_number": "808-484-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMOTO",
        "first_name": "LEE ANN",
        "middle_name": "O.S.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE ANN",
            "last_name": "SHIMABUKU",
            "middle_name": "OKIDO",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pearl City, HI

Sources for this page

Verify at the official NPI Registry.