Reymalou Rivera Tagudin

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1-150059 Issued in HI

Practice address

1348 17TH Ave
Honolulu, HI 96816-4322

Phone

(808) 971-1357

NPI assigned

Aug 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1689302291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 17TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164322",
            "telephone_number": "808-971-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 17TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164322",
            "telephone_number": "808-971-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGUDIN",
        "first_name": "REYMALOU",
        "middle_name": "RIVERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "HI",
            "license": "1-150059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron S Tagami, DMD
• Tara Tagami, OD
• Shelley Taganas
• Philip Andrew Tagariello, PHARM D
• Delaram Jasmine Taghipour, MD, MPH, MBA
• Lindsay Taguma, APRN
• Erin Tahauri, PSYD, LCSW
• Tai Hsuan Foundation
• Tai Husan Foundation
• Andrea Marie Tai

• Adult Care Home Facility in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Adult Care Home Facility in Hawaii

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