Individual provider Active NPI

Jodi Kimberly Jaslow, MA

  • Case Manager/Care Coordinator
  • Wailuku, HI
National Provider Identifier
1609506641
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
270 Waiehu Beach Rd Ste 213
Wailuku, HI 96793-1472
Phone
(808) 243-1263
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X HI Primary

Addresses

Primary practice location

270 Waiehu Beach Rd Ste 213
Wailuku, HI 96793-1472

Mailing address

270 Waiehu Beach Rd Ste 213
Wailuku, HI 96793-1472
Phone (808) 243-1263

Other names 1

  • Jodi Kimberly Jaffe Former name

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
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1609506641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 WAIEHU BEACH RD STE 213",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931472",
            "telephone_number": "808-243-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 WAIEHU BEACH RD STE 213",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931472",
            "telephone_number": "808-243-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASLOW",
        "first_name": "JODI",
        "middle_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "JAFFE",
            "middle_name": "KIMBERLY",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.