Individual provider Active NPI

Bethany Patricia Roehm, LPN

  • Licensed Practical Nurse
  • Waipahu, HI
National Provider Identifier
1578127585
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN-19291 Issued in HI
Practice address
94-450 Mokuola St Ste 100
Waipahu, HI 96797-3388
Phone
(808) 944-2882
NPI assigned
Apr 24, 2019
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN-19291 HI Primary

Addresses

Primary practice location

94-450 Mokuola St Ste 100
Waipahu, HI 96797-3388

Mailing address

342 Ohana Nui Cir
Honolulu, HI 96818-4518
Phone (702) 574-2516

Other names 1

  • Ms. Bethany Patricia Hinson Former name

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
LPN-19291HIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1578127585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 OHANA NUI CIR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968184518",
            "telephone_number": "702-574-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-450 MOKUOLA ST STE 100",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973388",
            "telephone_number": "808-944-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEHM",
        "first_name": "BETHANY",
        "middle_name": "PATRICIA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "HI",
            "license": "LPN-19291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "HINSON",
            "middle_name": "PATRICIA",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.