Individual provider Active NPI

Olivia B Nagashima, LMT

  • Massage Therapist
  • Kaneohe, HI
National Provider Identifier
1730217050
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT 4314 Issued in HI
Practice address
46-005 Kawa St Ste 306
Kaneohe, HI 96744-3813
Phone
(808) 255-5234
Fax
(808) 255-5234
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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 MAT 4314 HI Primary

Addresses

Primary practice location

46-005 Kawa St Ste 306
Kaneohe, HI 96744-3813

Mailing address

340 Hualani St Apt C
Kailua, HI 96734-2285
Phone (808) 255-5234

Other identifiers 2

IdentifierTypeStateIssuer
487761400OtherHIADP PROVIDER NO.
1043289OtherHIASHN PROVIDER NO.

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
MAT 4314HIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1730217050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 HUALANI ST APT C",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342285",
            "telephone_number": "808-255-5234",
            "fax_number": "808-255-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-005 KAWA ST STE 306",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443813",
            "telephone_number": "808-255-5234",
            "fax_number": "808-255-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGASHIMA",
        "first_name": "OLIVIA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT 4314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADP PROVIDER NO.",
            "identifier": "487761400",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN PROVIDER NO.",
            "identifier": "1043289",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.