Active NPI
Kirsten Jegsen Melcher, RPT
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1619040748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 259
- Practice address
- 850 W Hind Dr
Suite 104 and 108
Honolulu, HI 96821-1855 - Phone
- (808) 395-2084
- NPI assigned
- Nov 16, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 259 | HI | Primary |
Addresses
Primary practice location
850 W Hind Dr
Suite 104 and 108
Honolulu, HI 96821-1855
Mailing address
850 W Hind Dr
Suite 104 and 108
Honolulu, HI 96821-1855
Phone (808) 395-2084
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100003331-02 | Other | HI | UNIVERSITY HEALTH ALLIANC |
| 04449401 | Medicaid | HI | |
| A4968-2 | Other | HI | HMSA QUEST PROV. NUMBER |
| P00074485 | Other | HI | RAILROAD MEDICARE |
| A4968-2 | Other | HI | HMSA PROV. NUMBER |
| B003 | Other | HI | TRICARE FOR LIFE |
| B003 | Other | HI | TRICARE MANAGED CARE |
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 |
|---|---|---|---|
| 259 | HI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1619040748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 W HIND DR",
"address_2": "SUITE 104 AND 108",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968211855",
"telephone_number": "808-395-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W HIND DR",
"address_2": "SUITE 104 AND 108",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968211855",
"telephone_number": "808-395-2084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELCHER",
"first_name": "KIRSTEN",
"middle_name": "JEGSEN",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH ALLIANC",
"identifier": "100003331-02",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04449401",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA QUEST PROV. NUMBER",
"identifier": "A4968-2",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00074485",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA PROV. NUMBER",
"identifier": "A4968-2",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE FOR LIFE",
"identifier": "B003",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE MANAGED CARE",
"identifier": "B003",
"state": "HI"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.