Individual provider Active NPI

Colleen McKown-Allison, LSW

  • Social Worker
  • Honolulu, HI
National Provider Identifier
1487631438
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1716 Issued in HI
Practice address
4725 Bougainville Dr
PMB: 401
Honolulu, HI 96818-3179
Phone
(507) 581-6797
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 40769 TX
Social Worker 104100000X 1716 HI Primary

Addresses

Primary practice location

4725 Bougainville Dr
PMB: 401
Honolulu, HI 96818-3179

Mailing address

4725 Bougainville Dr
PMB: 401
Honolulu, HI 96818-3179
Phone (507) 581-6797

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
1716HIMDPharmacist
40769TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1487631438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 BOUGAINVILLE DR",
            "address_2": "PMB: 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183179",
            "telephone_number": "507-581-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 BOUGAINVILLE DR",
            "address_2": "PMB: 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183179",
            "telephone_number": "507-581-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOWN-ALLISON",
        "first_name": "COLLEEN",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "40769",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "1716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 31, 2007; 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.