Active NPI
Priscilla L. Omura, SLP
- Speech-Language Pathologist
- Kihei, HI
National Provider Identifier
1609174564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-418
- Practice address
- 44 Kanani Rd
Kihei, HI 96753-6713 - Phone
- (808) 643-4480
- NPI assigned
- Mar 2, 2011
- Last updated
- Mar 2, 2011
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-418 | HI | Primary |
Addresses
Primary practice location
44 Kanani Rd
Kihei, HI 96753-6713
Mailing address
44 Kanani Rd
Kihei, HI 96753-6713
Phone (808) 643-4480
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 418 | HI | MD | Behavioral Analyst |
| SP-418 | HI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1609174564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 KANANI RD",
"city": "KIHEI",
"state": "HI",
"postal_code": "967536713",
"telephone_number": "808-643-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 KANANI RD",
"city": "KIHEI",
"state": "HI",
"postal_code": "967536713",
"telephone_number": "808-643-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMURA",
"first_name": "PRISCILLA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-02",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "HI",
"license": "SP-418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kihei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.