Active NPI
Richard Agenten, RN
- Diabetes Educator Registered Nurse
- Hilo, HI
National Provider Identifier
1578886529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 49135
- Practice address
- 1178 Kinoole St
Hilo, HI 96720-7206 - Phone
- (808) 934-3246
- Fax
- (808) 961-4909
- NPI assigned
- Mar 4, 2010
- Last updated
- Mar 4, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 49135 | HI | Primary |
Addresses
Primary practice location
1178 Kinoole St
Hilo, HI 96720-7206
Mailing address
1178 Kinoole St
Hilo, HI 96720-7206
Phone (808) 934-3246
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49135 | HI | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1578886529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1178 KINOOLE ST",
"city": "HILO",
"state": "HI",
"postal_code": "967207206",
"telephone_number": "808-934-3246",
"fax_number": "808-961-4909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1178 KINOOLE ST",
"city": "HILO",
"state": "HI",
"postal_code": "967207206",
"telephone_number": "808-934-3246",
"fax_number": "808-961-4909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGENTEN",
"first_name": "RICHARD",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-04",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "HI",
"license": "49135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.