Active NPI
Heidi Marie Haltiner
- Specialist
- Wailuku, HI
National Provider Identifier
1487978425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MAT11605
- Practice address
- 40 N Market St
Wailuku, HI 96793-1718 - Phone
- (808) 242-8788
- NPI assigned
- Mar 19, 2010
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MAT11605 | HI | Primary |
Addresses
Primary practice location
40 N Market St
Wailuku, HI 96793-1718
Mailing address
3566A Piikea PL
Makawao, HI 96768-9550
Phone (808) 357-0181
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 |
|---|---|---|---|
| MAT11605 | HI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Ti Boutique and Massage LLC | Past | 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.
-
- Massage Therapist
- Wailuku, HI
- NPI 1801237045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1487978425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3566A PIIKEA PL",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967689550",
"telephone_number": "808-357-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 N MARKET ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931718",
"telephone_number": "808-242-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALTINER",
"first_name": "HEIDI",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-19",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "MAT11605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.