Active NPI
Carolyn Nicole Blum
- School Counselor
- Honolulu, HI
National Provider Identifier
1639485204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 1170471
- Practice address
- 4132 Keanu St.
#2
Honolulu, HI 96816-5580 - Phone
- (609) 351-2983
- NPI assigned
- Aug 20, 2010
- Last updated
- Aug 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 1170471 | NY | Primary |
Addresses
Primary practice location
4132 Keanu St.
#2
Honolulu, HI 96816-5580
Mailing address
4132 Keanu St
#2
Honolulu, HI 96816-5580
Phone (609) 351-2983
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 |
|---|---|---|---|
| 1170471 | NY | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1639485204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4132 KEANU ST",
"address_2": "#2",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165580",
"telephone_number": "609-351-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4132 KEANU ST.",
"address_2": "#2",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165580",
"telephone_number": "609-351-2983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "CAROLYN",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NY",
"license": "1170471",
"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 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.