Individual provider Active NPI

Lucrecia Baptista

  • Adult Care Home Facility
  • Ewa Beach, HI
National Provider Identifier
1679228217
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
5109922 Issued in HI
Practice address
91-140 Hailipo St
Ewa Beach, HI 96706-2346
Phone
(808) 368-4724
Fax
(808) 689-4908
NPI assigned
Feb 11, 2022
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 5109922 HI Primary

Addresses

Primary practice location

91-140 Hailipo St
Ewa Beach, HI 96706-2346

Mailing address

91-140 Hailipo St
Ewa Beach, HI 96706-2346
Phone (808) 368-4724

Other identifiers 1

IdentifierTypeStateIssuer
510992OtherHIMEDICARE PRIVATE/MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Address Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
5109922HIMDAdult Care Home Facility

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1679228217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-140 HAILIPO ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062346",
            "telephone_number": "808-368-4724",
            "fax_number": "808-689-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-140 HAILIPO ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062346",
            "telephone_number": "808-368-4724",
            "fax_number": "808-689-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAPTISTA",
        "first_name": "LUCRECIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "HI",
            "license": "5109922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PRIVATE/MEDICARE",
            "identifier": "510992",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Address",
            "affiliation": "N",
            "endpointDescription": "Facility",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "91-140 Hailipo St",
            "city": "Ewa Beach",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967062346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.