Active NPI
Puamaeole Anderson, LMT
- Student in an Organized Health Care Education/Training Program
- Hilo, HI
National Provider Identifier
1649926346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 73 Puuhonu PL Ste 104
Hilo, HI 96720-2060 - Phone
- (808) 935-6353
- Fax
- (888) 511-6031
- NPI assigned
- Feb 22, 2022
- Last updated
- Feb 22, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
73 Puuhonu PL Ste 104
Hilo, HI 96720-2060
Mailing address
190 Pakele LN
Hilo, HI 96720-4823
Phone (808) 990-8089
Other practice location 1
81-6587 Mamalahoa Hwy.
A101
Kealakekua, HI 96750
Phone (808) 935-6353
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Hilo |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1649926346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 PAKELE LN",
"city": "HILO",
"state": "HI",
"postal_code": "967204823",
"telephone_number": "808-990-8089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 PUUHONU PL STE 104",
"city": "HILO",
"state": "HI",
"postal_code": "967202060",
"telephone_number": "808-935-6353",
"fax_number": "888-511-6031"
}
],
"practiceLocations": [
{
"address_1": "81-6587 Mamalahoa Hwy.",
"address_2": "A101",
"address_purpose": "LOCATION",
"city": "Kealakekua",
"state": "HI",
"postal_code": "96750",
"country_code": "US",
"telephone_number": "808-935-6353",
"fax_number": "888-511-6031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "PUAMAEOLE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Hilo",
"affiliation": "N",
"endpointDescription": "Therapy Note",
"address_1": "73 Puuhonu Pl Ste 104",
"city": "Hilo",
"state": "HI",
"country_code": "US",
"postal_code": "967202060",
"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 Feb 22, 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.