Individual provider Active NPI

Edith C Cadiente

  • Specialist
  • Ewa Beach, HI
National Provider Identifier
1558638734
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
599061 Issued in HI
Practice address
91-111 Akekee PL
Ewa Beach, HI 96706-3921
Phone
(808) 681-6067
Fax
(808) 681-6067
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 599061 HI Primary

Addresses

Primary practice location

91-111 Akekee PL
Ewa Beach, HI 96706-3921

Mailing address

91-111 Akekee PL
Ewa Beach, HI 96706-3921
Phone (808) 681-6067

Other identifiers 1

IdentifierTypeStateIssuer
599061OtherHIDEPT OF HUMAN SERVICES

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
599061HIMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1558638734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-111 AKEKEE PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063921",
            "telephone_number": "808-681-6067",
            "fax_number": "808-681-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-111 AKEKEE PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063921",
            "telephone_number": "808-681-6067",
            "fax_number": "808-681-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADIENTE",
        "first_name": "EDITH",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "599061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HUMAN SERVICES",
            "identifier": "599061",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.