Active NPI
Rachel Lynn Putrino, PA-C
- Physician Assistant
- Kaneohe, HI
National Provider Identifier
1588022768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AMD-642
- Practice address
- 45-1144 Kamehameha Hwy
#500
Kaneohe, HI 96744-3244 - Phone
- (808) 247-7596
- NPI assigned
- Feb 3, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AMD-642 | HI | Primary |
Addresses
Primary practice location
45-1144 Kamehameha Hwy
#500
Kaneohe, HI 96744-3244
Mailing address
196 Noke St
Apt 8
Kailua, HI 96734-1744
Phone (608) 347-1808
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMD-642 | HI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portner Orthopedic Rehabilitation Incorporated | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Kaneohe, HI
- NPI 1316087315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1588022768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 NOKE ST",
"address_2": "APT 8",
"city": "KAILUA",
"state": "HI",
"postal_code": "967341744",
"telephone_number": "608-347-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-1144 KAMEHAMEHA HWY",
"address_2": "#500",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443244",
"telephone_number": "808-247-7596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTRINO",
"first_name": "RACHEL",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-03",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "HI",
"license": "AMD-642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.