Active NPI
Danny Michael Rudometkin, MAEC
- School Counselor
- Mililani, HI
National Provider Identifier
1750531083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 110188
- Practice address
- 95-169 Wailawa St
Mililani, HI 96789-3205 - Phone
- (808) 306-6665
- NPI assigned
- Sep 23, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 110188 | HI | Primary |
Addresses
Primary practice location
95-169 Wailawa St
Mililani, HI 96789-3205
Mailing address
95-169 Wailawa St
Mililani, HI 96789-3205
Phone (808) 306-6665
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110188 | HI | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1750531083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-169 WAILAWA ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967893205",
"telephone_number": "808-306-6665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95-169 WAILAWA ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967893205",
"telephone_number": "808-306-6665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOMETKIN",
"first_name": "DANNY",
"middle_name": "MICHAEL",
"credential": "MAEC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "HI",
"license": "110188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.