Active NPI
Johnalyn Kekaihokulani Rodrigues Nosaka
- School Clinical Nurse Specialist
- Hilo, HI
National Provider Identifier
1457949240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Clinical Nurse Specialist
- License
- RN-43078
- Practice address
- 305 Wailuku Dr
Hilo, HI 96720-2488 - Phone
- (808) 960-4163
- NPI assigned
- Jan 6, 2021
- Last updated
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Clinical Nurse Specialist | 364SS0200X | RN-43078 | HI | Primary |
Addresses
Primary practice location
305 Wailuku Dr
Hilo, HI 96720-2488
Mailing address
27-2461 Kahala PL
Hilo, HI 96720-2278
Phone (808) 960-4163
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN-43078 | HI | MD | School Clinical Nurse Specialist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hoku Home Health Care Services
- Home Health Agency
- Hilo, HI
- NPI 1053780163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1457949240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27-2461 KAHALA PL",
"city": "HILO",
"state": "HI",
"postal_code": "967202278",
"telephone_number": "808-960-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 WAILUKU DR",
"city": "HILO",
"state": "HI",
"postal_code": "967202488",
"telephone_number": "808-960-4163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES NOSAKA",
"first_name": "JOHNALYN",
"middle_name": "KEKAIHOKULANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "364SS0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, School",
"state": "HI",
"license": "RN-43078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.