Active NPI
Audre Tara Harlow, LMT
- Massage Therapist
- Kamuela, HI
National Provider Identifier
1588318620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4615
- Practice address
- 65-1238 Mamalahoa Hwy BLDG C20A
Kamuela, HI 96743-8432 - Phone
- (808) 895-0139
- NPI assigned
- Feb 8, 2022
- Last updated
- Feb 8, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4615 | HI | Primary |
Addresses
Primary practice location
65-1238 Mamalahoa Hwy BLDG C20A
Kamuela, HI 96743-8432
Mailing address
64-730 Waikelehua PL
Kamuela, HI 96743-8375
Phone (808) 895-0139
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 |
|---|---|---|---|
| 4615 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1588318620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64-730 WAIKELEHUA PL",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438375",
"telephone_number": "808-895-0139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65-1238 MAMALAHOA HWY BLDG C20A",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438432",
"telephone_number": "808-895-0139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLOW",
"first_name": "AUDRE",
"middle_name": "TARA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "4615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kamuela, HI
- Hamakua Health Center, Inc. (Hamakua-Kohala Health)
- Hamakua Health Center, Inc. (Hamakua Kohala Health)
- Hamakua Health Center, Inc. (Hamakua Kohala Health)
- Hamakua Health Center, Inc. (Hamakua Kohala Health)
- William Thane Hancock, MD
- Catherine Alice Hart, LISW
- Trevor Donald Hartwell, D.D.S.
- Jennifer K Hashimoto, APRN
- Hawaii Cardiology, Inc
- Hawaii Life Flight, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.