Shaunna Dezrae Kamanu'Ena Hermosura, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1120 Issued in HI

Practice address

860 4TH St Ste 150
Pearl City, HI 96782-3690

Phone

(808) 453-6960

NPI assigned

Jul 3, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kamanu Maunupau Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Leeward Early Childhood Services Program

  • Early Intervention Provider Agency
  • Pearl City, HI
  • NPI 1821367723
  NPD (past)
• Sprouts Therapy LLC

  • Pediatric Occupational Therapist
  • Waipahu, HI
  • NPI 1760766869
  NPD (past)

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1649534884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-164 KUPUOHI PL",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971122",
            "telephone_number": "808-306-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 4TH ST STE 150",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823690",
            "telephone_number": "808-453-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMOSURA",
        "first_name": "SHAUNNA",
        "middle_name": "DEZRAE KAMANU'ENA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT1120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaunna.maunupau@doh.hawaii.gov",
            "affiliation": "N",
            "address_1": "860 4th St Ste 150",
            "city": "Pearl City",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967823690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAMANU",
            "last_name": "MAUNUPAU",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hawaii Podiatry Inc
• Hawaii Podiatry LLC.
• Diane Hayashi, MT
• Shannon N Hayes, PSYD, LMHC, LPC
• Tian W He, D.M.D.
• Archiebald Hernandez
• Jennyl Hernandez
• Kyle Higuchi, PHYSICAL THERAPIST
• Hill-Rom Company, Inc
• Lena Himalaya

• Occupational Therapist in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Occupational Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.