Active NPI
Lee Ann O.S. Nakamoto, LCSW
- Clinical Social Worker
- Pearl City, HI
National Provider Identifier
1396176798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3899
- 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
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 |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3899 | HI | MD | Pharmacist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.