Individual provider Active NPI

Etsuko Kealakai

  • Massage Therapist
  • Honolulu, HI
National Provider Identifier
1689370314
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
11775 Issued in HI
Practice address
438 Hobron LN Ste 211
Honolulu, HI 96815-1225
Phone
(808) 942-4325
NPI assigned
Feb 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 11775 HI Primary

Addresses

Primary practice location

438 Hobron LN Ste 211
Honolulu, HI 96815-1225

Mailing address

411 Hobron LN Apt 2907
Honolulu, HI 96815-1217
Phone (808) 942-4325

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
11775HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Earth Massage and Wellness LLC Massage Therapist CurrentSince Dec 10, 2023 Accepting new patients

Locations

438 Hobron Ln
Ste 211
Honolulu, HI 96815
Phone (808) 476-6620

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1689370314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HOBRON LN APT 2907",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151217",
            "telephone_number": "808-942-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 HOBRON LN STE 211",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151225",
            "telephone_number": "808-942-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEALAKAI",
        "first_name": "ETSUKO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "11775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.