Individual provider Active NPI

Jenalyn Ramos

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Pearl City, HI
National Provider Identifier
1457967036
Registry record updated Sep 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
RN-94713 Issued in HI
Practice address
2501 Waimano Home Rd
Pearl City, HI 96782-1478
Phone
(808) 454-1411
NPI assigned
Sep 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN-94713 HI Primary

Addresses

Primary practice location

2501 Waimano Home Rd
Pearl City, HI 96782-1478

Mailing address

PO Box 1196
Pearl City, HI 96782-8196
Phone (808) 454-1411

Other practice location 1

94-1015 Kuhaulua St
Waipahu, HI 96797-2851
Phone (808) 888-9270

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
RN-94713HIMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Behavioral Health PastSince Sep 27, 2020 Accepting new patients

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": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600473600000",
    "number": "1457967036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1196",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967828196",
            "telephone_number": "808-454-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WAIMANO HOME RD",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967821478",
            "telephone_number": "808-454-1411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-1015 Kuhaulua St",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967972851",
            "country_code": "US",
            "telephone_number": "808-888-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "JENALYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "HI",
            "license": "RN-94713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 19, 2020; 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.