Individual provider Active NPI

Rene Mahealani Taylor

  • Licensed Practical Nurse
  • Honolulu, HI
National Provider Identifier
1801220413
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
17638 Issued in HI
Practice address
1644 Liholiho St
Apt J
Honolulu, HI 96822-2901
Phone
(915) 342-0200
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 17638 HI Primary
Licensed Vocational Nurse 164X00000X 219145 TX

Addresses

Primary practice location

1644 Liholiho St
Apt J
Honolulu, HI 96822-2901

Mailing address

1644 Liholiho St
Apt J
Honolulu, HI 96822-2901
Phone (915) 342-0200

Other names 1

  • Rene Mahealani Shea Former name

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

LicenseStateTypeSpecialty
17638HIMDLicensed Practical Nurse
219145TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1801220413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 LIHOLIHO ST",
            "address_2": "APT J",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222901",
            "telephone_number": "915-342-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 LIHOLIHO ST",
            "address_2": "APT J",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222901",
            "telephone_number": "915-342-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RENE",
        "middle_name": "MAHEALANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "HI",
            "license": "17638",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "219145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENE",
            "last_name": "SHEA",
            "middle_name": "MAHEALANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 30, 2013; 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.