Active NPI
Nitatose VI Misi
- Registered Nurse
- Honolulu, HI
National Provider Identifier
1548097942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1071A
- Practice address
- Department of Veterans Affairs
459 Patterson Road
Honolulu, HI 96819 - Phone
- (684) 699-3730
- Fax
- (684) 699-9147
- NPI assigned
- Sep 18, 2024
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1071A | AS | Primary |
Addresses
Primary practice location
Department of Veterans Affairs
459 Patterson Road
Honolulu, HI 96819
Mailing address
P.O.Box 1005
American Samoa VA Clinic
Pago Pago, AMERICAN SAMOA 96799
UM
Other practice location 1
P.O.Box 1005
American Samoa VA Clinic
Pago Pago, American Samoa 96799
UM
Phone (684) 782-4042
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 |
|---|---|---|---|
| 1071A | AS | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1548097942",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "P.O.BOX 1005",
"address_2": "AMERICAN SAMOA VA CLINIC",
"city": "PAGO PAGO",
"state": "AMERICAN SAMOA",
"postal_code": "96799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF VETERANS AFFAIRS",
"address_2": "459 PATTERSON ROAD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96819",
"telephone_number": "684-699-3730",
"fax_number": "684-699-9147"
}
],
"practiceLocations": [
{
"address_1": "P.O.Box 1005",
"address_2": "American Samoa VA Clinic",
"address_purpose": "LOCATION",
"city": "Pago Pago",
"state": "American Samoa",
"postal_code": "96799",
"country_code": "UM",
"telephone_number": "684-782-4042",
"fax_number": "684-699-9147",
"country_name": "United States Minor Outlying Islands",
"address_type": "FGN"
}
],
"basic": {
"last_name": "MISI",
"first_name": "NITATOSE",
"middle_name": "VI",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-18",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AS",
"license": "1071A",
"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 Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.