Individual provider Active NPI

Angelica Quinn, LMT

  • Massage Therapist
  • Honolulu, HI
National Provider Identifier
1730646134
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT-11615 Issued in HI
Practice address
863 Halekauwila St
Honolulu, HI 96813-5325
Phone
(808) 782-5688
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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-11615 HI Primary

Addresses

Primary practice location

863 Halekauwila St
Honolulu, HI 96813-5325

Mailing address

440 Keawe St Apt 705
Honolulu, HI 96813-5968
Phone (808) 782-5688

Other practice location 1

440 Keawe St Apt 705
Honolulu, HI 96813-5968
Phone (808) 782-5688

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-11615HIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1730646134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 KEAWE ST APT 705",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135968",
            "telephone_number": "808-782-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 HALEKAUWILA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135325",
            "telephone_number": "808-782-5688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Keawe St Apt 705",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968135968",
            "country_code": "US",
            "telephone_number": "808-782-5688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "ANGELICA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-11615",
            "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 22, 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.

Verify at the official NPI Registry.