Active NPI
Victoria Lee Wallace
- Social Worker
- Honolulu, HI
National Provider Identifier
1487075271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1874
- Practice address
- 1314 Victoria St
Apt. 1002
Honolulu, HI 96814-1048 - Phone
- (808) 675-6200
- NPI assigned
- Dec 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 1874 | HI | Primary |
Addresses
Primary practice location
1314 Victoria St
Apt. 1002
Honolulu, HI 96814-1048
Mailing address
1314 Victoria St
Apt. #1002
Honolulu, HI 96814-1048
Phone (808) 675-6200
Other names 1
- Victoria Lee Romualdo
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 |
|---|---|---|---|
| 1874 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1487075271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 VICTORIA ST",
"address_2": "APT. #1002",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141048",
"telephone_number": "808-675-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 VICTORIA ST",
"address_2": "APT. 1002",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141048",
"telephone_number": "808-675-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "VICTORIA",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-20",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "HI",
"license": "1874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "ROMUALDO",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.