Individual provider Active NPI

John Winnes, MSW

  • Clinical Social Worker
  • Lihue, HI
National Provider Identifier
1790875458
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3114 Issued in HI
Practice address
4374 Kukui Grove St
Suite 102
Lihue, HI 96766-2007
Phone
(808) 635-2494
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3114 HI Primary

Addresses

Primary practice location

4374 Kukui Grove St
Suite 102
Lihue, HI 96766-2007

Mailing address

PO Box 223303
Princeville, HI 96722-3303
Phone (808) 635-2494

Other identifiers 1

IdentifierTypeStateIssuer
50177701MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000563 HI Practitioner - Clinical Social Worker 5799701959 Practice locations: Princeville, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 223303
Princeville, HI 96722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3114HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jon W. Nakamura, M.D., Inc. PastSince May 1, 2014 Accepting new patients

Organizations & group practices 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790875458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223303",
            "city": "PRINCEVILLE",
            "state": "HI",
            "postal_code": "967223303",
            "telephone_number": "808-635-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4374 KUKUI GROVE ST",
            "address_2": "SUITE 102",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662007",
            "telephone_number": "808-635-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNES",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50177701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.