Individual provider Active NPI

Jaime Kimie Yoshino, MS, OTR/L

  • Pediatric Occupational Therapist
  • Honolulu, HI
National Provider Identifier
1770059743
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
17766 Issued in CA
Practice address
1210 Wilhelmina Rise Ste B
Honolulu, HI 96816-3287
Phone
(808) 260-9056
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X HI
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 17766 CA Primary

Addresses

Primary practice location

1210 Wilhelmina Rise Ste B
Honolulu, HI 96816-3287

Mailing address

6025 Kaupalena St
Honolulu, HI 96821-2220
Phone (808) 383-7455

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
17766CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Development Is Child'S Play Single Specialty Past Accepting new patients
Sprouts Therapy LLC Pediatrics PastSince Oct 19, 2020 Accepting new patients
Development Is Child'S Play Single Specialty Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1770059743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 KAUPALENA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212220",
            "telephone_number": "808-383-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 WILHELMINA RISE STE B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163287",
            "telephone_number": "808-260-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSHINO",
        "first_name": "JAIME",
        "middle_name": "KIMIE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "17766",
            "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 Oct 14, 2020; 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.