Individual provider Active NPI

Puamaeole Anderson, LMT

  • Student in an Organized Health Care Education/Training Program
  • Hilo, HI
National Provider Identifier
1649926346
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.