Active NPI
Rowena Dumot Young, CNA
- Nursing Home Administrator
- Waianae, HI
National Provider Identifier
1558914747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- 1-170044
- Practice address
- 87-162 Manuoioi PL
Waianae, HI 96792-3232 - Phone
- (808) 744-0845
- Fax
- (833) 249-6216
- NPI assigned
- Jul 17, 2019
- 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 |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | 1-170044 | HI | Primary |
Addresses
Primary practice location
87-162 Manuoioi PL
Waianae, HI 96792-3232
Mailing address
PO Box 5452
Kaneohe, HI 96744-9165
Phone (808) 744-0845
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 |
|---|---|---|---|
| 1-170044 | HI | MD | Nursing Home Administrator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1558914747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5452",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967449165",
"telephone_number": "808-744-0845",
"fax_number": "833-249-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87-162 MANUOIOI PL",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967923232",
"telephone_number": "808-744-0845",
"fax_number": "833-249-6216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ROWENA",
"middle_name": "DUMOT",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-17",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "HI",
"license": "1-170044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waianae, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.