Kaanohiokala Pea, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MAT-9551 Issued in HI

Practice address

17-4221 Huina Rd.
Kurtistown, HI 96760-8213

Phone

(808) 333-7890

Fax

(808) 443-0799

NPI assigned

May 18, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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.

• Niu Hawaii Nurturing Is Universali

  • Massage Therapist
  • Kurtistown, HI
  • NPI 1902721715
  NPD (past) Authorized official

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

{
    "created_epoch": "1400371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1689085151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16-566 KEAAU PAHOA RD STE 188-201",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967498137",
            "telephone_number": "808-333-7890",
            "fax_number": "808-443-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-4221 HUINA RD.",
            "city": "KURTISTOWN",
            "state": "HI",
            "postal_code": "967608213",
            "telephone_number": "808-333-7890",
            "fax_number": "808-443-0799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17-211 Palaai St",
            "address_purpose": "LOCATION",
            "city": "Keaau",
            "state": "HI",
            "postal_code": "967498213",
            "country_code": "US",
            "telephone_number": "808-333-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEA",
        "first_name": "KAANOHIOKALA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-18",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MAT-9551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "1689085151",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria King, PSYD
• Lori Loftin, LCSW
• Muftiah Martin, MA
• Trina Nahm-Mijo, PH.D.
• Niu Hawaii Nurturing Is Universali
• Teri Peterson
• Mealani Rahmer, ND
• Shiawase Investments LLC
• Alice Suncloud, R.D.
• Trueyou Therapy

• Specialist in Kurtistown, HI
• Providers in Kurtistown, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.