Individual provider Active NPI

Jennifer L Kawamoto, LAC, ATC

  • Acupuncturist
  • Honolulu, HI
National Provider Identifier
1598210940
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU 1177 Issued in HI
Practice address
438 Hobron LN Ste 215
Honolulu, HI 96815-1225
Phone
(808) 754-4374
NPI assigned
Aug 15, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU 1177 HI Primary

Addresses

Primary practice location

438 Hobron LN Ste 215
Honolulu, HI 96815-1225

Mailing address

438 Hobron LN Ste 215
Honolulu, HI 96815-1225
Phone (808) 754-4374

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
ACU 1177HIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1598210940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 HOBRON LN STE 215",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151225",
            "telephone_number": "808-754-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 HOBRON LN STE 215",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151225",
            "telephone_number": "808-754-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAMOTO",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LAC, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "ACU 1177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.