Active NPI
Anna Maria Spivak, MS REC ADMIN
- Case Manager/Care Coordinator
- Lihue, HI
National Provider Identifier
1558602920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2970 Kele St
Suite 203
Lihue, HI 96766-1823 - Phone
- (808) 245-5914
- Fax
- (808) 245-8040
- NPI assigned
- Mar 11, 2013
- Last updated
- Mar 11, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
2970 Kele St
Suite 203
Lihue, HI 96766-1823
Mailing address
91-1841 Fort Weaver Rd
Ewa Beach, HI 96706-1909
Phone (808) 681-3500
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1558602920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1841 FORT WEAVER RD",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967061909",
"telephone_number": "808-681-3500",
"fax_number": "808-681-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2970 KELE ST",
"address_2": "SUITE 203",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661823",
"telephone_number": "808-245-5914",
"fax_number": "808-245-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIVAK",
"first_name": "ANNA",
"middle_name": "MARIA",
"credential": "MS REC ADMIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-11",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lihue, HI
- Markland Soliva
- Raisa Soriano, M.S., CCC-SLP
- Bernadine Souza
- Dawn Allison Sparks, D.O.
- Daniel George Spicer, D.O., M.P.H.
- St. Francis Community Health Services
- St. Francis Medical Center - Kauai Dialysis
- State of Hawaii Department of Health (Kauai Community Mental Health Center)
- Stay at Home Healthcare Services, LLC
- Stay at Home Healthcare Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.