Active NPI
Simone Karla Correa, LMT
- Contractor
- Honolulu, HI
National Provider Identifier
1528257847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- MAT 8854
- Practice address
- 1314 S King St
#1516
Honolulu, HI 96814-1956 - Phone
- (808) 591-9339
- NPI assigned
- Oct 23, 2007
- Last updated
- Oct 23, 2007
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | MAT 8854 | HI | Primary |
Addresses
Primary practice location
1314 S King St
#1516
Honolulu, HI 96814-1956
Mailing address
1833 Anapuni St
#103
Honolulu, HI 96822-3279
Phone (808) 232-3772
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 |
|---|---|---|---|
| MAT 8854 | HI | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1528257847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1833 ANAPUNI ST",
"address_2": "#103",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968223279",
"telephone_number": "808-232-3772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 S KING ST",
"address_2": "#1516",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141956",
"telephone_number": "808-591-9339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA",
"first_name": "SIMONE",
"middle_name": "KARLA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "HI",
"license": "MAT 8854",
"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 Oct 23, 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.