Kelis Daionia Cummings, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

17551 Issued in HI

Practice address

480 Central Ave
Pearl Harbor, HI 96860-4908

Phone

(808) 471-1866

NPI assigned

Sep 11, 2013

Last updated

Sep 11, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1750716577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-471-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-471-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "KELIS",
        "middle_name": "DAIONIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "HI",
            "license": "17551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Lacbain Credo, IDC
• Jesus Manuel Crespo-Diaz, AHCNS, ACNP-BC
• Rachele A Cruz, RN
• Raynier Cruzborroto, PA-C
• Tyler Godbee Cuchens, LPN
• Spencer Ashton Davidson, DMD
• John Davis, DDS
• James Mitchell Day, M.D.
• Kevin Alexander Day, DDS
• Gordon Douglas Delcambre, D.D.S.

• Licensed Practical Nurse in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• Licensed Practical Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.