Cheyenne Keiko Fuertes
Individual provider Active NPI Athletic Trainer · Keaau, HI
NPI 1780377705 · NPPES record last updated May 22, 2025
Key facts
- NPI
- 1780377705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 16-725 Keaau Pahoa Rd
Keaau, HI 96749-8146 - Phone
- (808) 313-3452
- NPI assigned
- May 26, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | HI | Yes |
Addresses
Primary practice location
16-725 Keaau Pahoa Rd
Keaau, HI 96749-8146
Mailing address
16-725 Keaau Pahoa Rd
Keaau, HI 96749-8146
Other providers in Keaau, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.