Elliott A. Plourde

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1485 Linapuni St
Suite 105
Honolulu, HI 96819-3575

Phone

(808) 843-5312

Fax

(808) 848-2069

NPI assigned

May 18, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1417276239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 LINAPUNI ST",
            "address_2": "SUITE 105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193575",
            "telephone_number": "808-843-5312",
            "fax_number": "808-848-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 LINAPUNI ST",
            "address_2": "SUITE 105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193575",
            "telephone_number": "808-843-5312",
            "fax_number": "808-848-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOURDE",
        "first_name": "ELLIOTT",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.