Individual provider Active NPI

Laura Umayam Inocencio, NOT APPLICABLE

  • Specialist
  • Ewa Beach, HI
National Provider Identifier
1750176079
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1-180039 Issued in HI
Practice address
91-656 Kilinahe St
Ewa Beach, HI 96706-2716
Phone
(808) 722-2760
Fax
(808) 200-5144
NPI assigned
Apr 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1-180039 HI Primary

Addresses

Primary practice location

91-656 Kilinahe St
Ewa Beach, HI 96706-2716

Mailing address

91-656 Kilinahe St
Ewa Beach, HI 96706-2716
Phone (808) 722-2760

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
1-180039HIMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1750176079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-656 KILINAHE ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062716",
            "telephone_number": "808-722-2760",
            "fax_number": "808-200-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-656 KILINAHE ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062716",
            "telephone_number": "808-722-2760",
            "fax_number": "808-200-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INOCENCIO",
        "first_name": "LAURA",
        "middle_name": "UMAYAM",
        "name_prefix": "Mrs.",
        "credential": "NOT  APPLICABLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "1-180039",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 9, 2025; 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.