Individual provider Active NPI

Rosemary Rast, L.AC.

  • Acupuncturist
  • Kailua Kona, HI
National Provider Identifier
1467118299
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU-1383 Issued in HI
Practice address
75-5591 Palani Rd Ste 201
Kailua Kona, HI 96740-3632
Phone
(808) 491-7433
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU-1383 HI Primary

Addresses

Primary practice location

75-5591 Palani Rd Ste 201
Kailua Kona, HI 96740-3632

Mailing address

PO Box 2175
Kailua Kona, HI 96745-2175

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
ACU-1383HIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Tides Acupuncture LLC Acupuncturist CurrentSince Nov 21, 2021 Accepting new patients
Gentle Tides Acupuncture LLC Acupuncturist CurrentSince Apr 23, 2023 Accepting new patients

Locations

3405 Penrose Pl
Ste 206
Boulder, CO 80301
Phone (303) 618-0390

75-5591 Palani Rd
Ste 201
Kailua Kona, HI 96740
Phone (808) 329-2114

Organizations & group practices 2

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": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1467118299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2175",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967452175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5591 PALANI RD STE 201",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403632",
            "telephone_number": "808-491-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAST",
        "first_name": "ROSEMARY",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "ACU-1383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.