Active NPI
Ilene Martino Bellerue, LAC
- Acupuncturist
- Makawao, HI
National Provider Identifier
1548485808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU-382
- Practice address
- 205 Ulana St
Makawao, HI 96768-8034 - Phone
- (808) 573-7770
- Fax
- (808) 573-7770
- NPI assigned
- Apr 13, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACU-382 | HI | Primary |
Addresses
Primary practice location
205 Ulana St
Makawao, HI 96768-8034
Mailing address
205 Ulana St
Makawao, HI 96768-8034
Phone (808) 573-7770
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 |
|---|---|---|---|
| ACU-382 | HI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548485808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 ULANA ST",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967688034",
"telephone_number": "808-573-7770",
"fax_number": "808-573-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 ULANA ST",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967688034",
"telephone_number": "808-573-7770",
"fax_number": "808-573-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLERUE",
"first_name": "ILENE",
"middle_name": "MARTINO",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "ACU-382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Makawao, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.