Active NPI
Jeannette Ing Uemura, OTR
- Pediatric Occupational Therapist
- Honolulu, HI
National Provider Identifier
1760672091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT-36
- Practice address
- 1700 Lanakila Ave # 210
Honolulu, HI 96817-2115 - Phone
- (808) 832-5688
- Fax
- (808) 832-5698
- NPI assigned
- Aug 1, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT-36 | HI | Primary |
Addresses
Primary practice location
1700 Lanakila Ave # 210
Honolulu, HI 96817-2115
Mailing address
1350 S King St Ste 200
Honolulu, HI 96814-2005
Phone (808) 594-0077
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 |
|---|---|---|---|
| OT-36 | HI | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Hawaii, Department of Health, Early Intervention Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Honolulu, HI
- NPI 1710258405
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1538221304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1760672091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 S KING ST STE 200",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142005",
"telephone_number": "808-594-0077",
"fax_number": "808-594-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 LANAKILA AVE # 210",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172115",
"telephone_number": "808-832-5688",
"fax_number": "808-832-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ING UEMURA",
"first_name": "JEANNETTE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "HI",
"license": "OT-36",
"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 Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.