Active NPI
Yuka Jonen, MA, ATC
- Athletic Trainer
- Honolulu, HI
National Provider Identifier
1790225621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 21
- Practice address
- 563 Kamoku St
Honolulu, HI 96826-5245 - Phone
- (808) 943-2344
- NPI assigned
- Feb 25, 2017
- Last updated
- Feb 25, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 21 | HI | Primary |
Addresses
Primary practice location
563 Kamoku St
Honolulu, HI 96826-5245
Mailing address
563 Kamoku St
Honolulu, HI 96826-5245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120602611 | Other | BOC ATHLETIC TRAINER |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21 | HI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487980800000",
"number": "1790225621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "563 KAMOKU ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968265245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "563 KAMOKU ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968265245",
"telephone_number": "808-943-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONEN",
"first_name": "YUKA",
"credential": "MA, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-25",
"last_updated": "2017-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "HI",
"license": "21",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC ATHLETIC TRAINER",
"identifier": "120602611",
"state": null
}
],
"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 Feb 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.