Organization Active NPI

None

  • Student in an Organized Health Care Education/Training Program
  • Haleiwa, HI
National Provider Identifier
1689056350
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
NONE
Practice address
58-290 Kamehameha Hwy
Haleiwa, HI 96712-9716
Phone
(808) 223-0936
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Ms. Tiana Rose L Ahue
Title
Student
Phone
(808) 223-0936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

58-290 Kamehameha Hwy
Haleiwa, HI 96712-9716

Mailing address

58-290 Kamehameha Hwy
Haleiwa, HI 96712-9716

National Provider Directory

National Provider Directory
Tax ID family
Jasmine Rivera72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1689056350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58-290 KAMEHAMEHA HWY",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967129716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58-290 KAMEHAMEHA HWY",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967129716",
            "telephone_number": "808-223-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "AHUE",
        "authorized_official_first_name": "TIANA ROSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "STUDENT",
        "authorized_official_telephone_number": "808-223-0936",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleiwa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.