Active NPI
Dana Robin Wetmore, M.S CCC-SLP
- Speech-Language Pathologist
- Ewa Beach, HI
National Provider Identifier
1699248989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-1743
- Practice address
- 91-970 Kaileolea Dr
Ewa Beach, HI 96706-5034 - Phone
- (808) 689-1380
- NPI assigned
- Jan 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-1743 | HI | Primary |
Addresses
Primary practice location
91-970 Kaileolea Dr
Ewa Beach, HI 96706-5034
Mailing address
1431 D 10TH Ave
Honolulu, HI 96816
Phone (484) 264-5500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14192862 | Other | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION | |
| SP-1743 | Other | HI | STATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-1743 | HI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1699248989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 D 10TH AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96816",
"telephone_number": "484-264-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-970 KAILEOLEA DR",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967065034",
"telephone_number": "808-689-1380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETMORE",
"first_name": "DANA",
"middle_name": "ROBIN",
"credential": "M.S CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "HI",
"license": "SP-1743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
"identifier": "14192862",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS",
"identifier": "SP-1743",
"state": "HI"
}
],
"endpoints": [],
"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 Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.