Active NPI
Larisha Naidu
- Massage Therapist
- Makawao, HI
National Provider Identifier
1558084863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13047
- Practice address
- 3681 Baldwin Ave Ste G-103
Makawao, HI 96768-7505 - Phone
- (949) 735-5625
- NPI assigned
- Sep 21, 2022
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 13047 | HI | Primary |
Addresses
Primary practice location
3681 Baldwin Ave Ste G-103
Makawao, HI 96768-7505
Mailing address
PO Box 461
Makawao, HI 96768-0461
Phone (949) 735-5625
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 |
|---|---|---|---|
| 13047 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1558084863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 461",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967680461",
"telephone_number": "949-735-5625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3681 BALDWIN AVE STE G-103",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967687505",
"telephone_number": "949-735-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIDU",
"first_name": "LARISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "13047",
"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 Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.