Individual provider Active NPI

Ellarene Kuuliealoha Vogelgesang

  • Massage Therapist
  • Kailua Kona, HI
National Provider Identifier
1528314267
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MATT 3913 Issued in HI
Practice address
74-5620 Palani Rd Ste 100
Kailua Kona, HI 96740-3640
Phone
(808) 331-8860
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MATT 3913 HI Primary
Massage Therapist 225700000X MATT3913 HI

Addresses

Primary practice location

74-5620 Palani Rd Ste 100
Kailua Kona, HI 96740-3640

Mailing address

PO Box 4386
Kailua Kona, HI 96745-4386
Phone (808) 315-7710

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
MATT 3913HIMDMassage Therapist
MATT3913HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Armand J Wohl MD Facc Medical Corp PastSince Jul 1, 2007 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.

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1528314267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4386",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967454386",
            "telephone_number": "808-315-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-5620 PALANI RD STE 100",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403640",
            "telephone_number": "808-331-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGELGESANG",
        "first_name": "ELLARENE",
        "middle_name": "KUULIEALOHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MATT 3913",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MATT3913",
            "primary": false
        }
    ],
    "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 Jul 31, 2012; 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.