Individual provider Active NPI

Walter Tokishi, SP

  • Speech-Language Pathologist
  • Wailuku, HI
National Provider Identifier
1699983130
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
93 Issued in HI
Practice address
233 S Market St
Wailuku, HI 96793-2218
Phone
(808) 249-2700
Fax
(808) 249-2700
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 93 HI Primary

Addresses

Primary practice location

233 S Market St
Wailuku, HI 96793-2218

Mailing address

233 S Market St
Wailuku, HI 96793-2218
Phone (808) 249-2700

Other identifiers 1

IdentifierTypeStateIssuer
R0044769OtherHIHMSA

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
93HIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1699983130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S MARKET ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932218",
            "telephone_number": "808-249-2700",
            "fax_number": "808-249-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S MARKET ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932218",
            "telephone_number": "808-249-2700",
            "fax_number": "808-249-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKISHI",
        "first_name": "WALTER",
        "credential": "SP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "93",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "R0044769",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.