Individual provider Active NPI

Michelle Terukina

  • Massage Therapist
  • Ewa Beach, HI
National Provider Identifier
1396519872
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT-16192 Issued in HI
Practice address
91-1123 Keaunui Dr Ste 223
Ewa Beach, HI 96706-6369
Phone
(808) 638-4559
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MAT-16192 HI Primary

Addresses

Primary practice location

91-1123 Keaunui Dr Ste 223
Ewa Beach, HI 96706-6369

Mailing address

91-1123 Keaunui Dr Ste 223
Ewa Beach, HI 96706-6369

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
MAT-16192HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Oahu Acupuncture and Integrative Medicine LLC CurrentSince Nov 19, 2023 Accepting new patients

Locations

91-1123 Keaunui Dr
Ste 223
Ewa Beach, HI 96706
Phone (808) 208-0031

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1396519872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1123 KEAUNUI DR STE 223",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1123 KEAUNUI DR STE 223",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066369",
            "telephone_number": "808-638-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERUKINA",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-16192",
            "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 Nov 14, 2023; 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.