Active NPI
Joyce M Nakamoto
- Speech-Language Pathologist
- Hilo, HI
National Provider Identifier
1619642147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-327
- Practice address
- 75 Aupuni St RM 203
Hilo, HI 96720-4245 - Phone
- (808) 305-9749
- NPI assigned
- Aug 16, 2021
- 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-327 | HI | Primary |
Addresses
Primary practice location
75 Aupuni St RM 203
Hilo, HI 96720-4245
Mailing address
475 22ND Ave RM 127
Honolulu, HI 96816-4400
Phone (808) 305-9749
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Honolulu |
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 |
|---|---|---|---|
| SP-327 | HI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Hawaii Department of Education | Current | Accepting new patients |
Locations
475 22nd Ave
Rm 127
Honolulu, HI 96816
Phone (808) 305-9750
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Honolulu, HI
- NPI 1093845521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1619642147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 22ND AVE RM 127",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968164400",
"telephone_number": "808-305-9749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 AUPUNI ST RM 203",
"city": "HILO",
"state": "HI",
"postal_code": "967204245",
"telephone_number": "808-305-9749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAMOTO",
"first_name": "JOYCE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "HI",
"license": "SP-327",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Honolulu",
"affiliation": "N",
"address_1": "75 Aupuni St Rm 203",
"city": "Hilo",
"state": "HI",
"country_code": "US",
"postal_code": "967204245",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.