Individual provider Active NPI

Marivyn Aurelio Casino, C.N.A

  • Nurse's Aide
  • Ewa Beach, HI
National Provider Identifier
1811034994
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
121917970690F Issued in HI
Practice address
91-1035 Opaehuna St
Ewa Beach, HI 96706-3566
Phone
(808) 677-5805
Fax
(808) 671-5591
NPI assigned
Jan 30, 2007
Sex
Female
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
Nurse's Aide 376K00000X 121917970690F HI Primary

Addresses

Primary practice location

91-1035 Opaehuna St
Ewa Beach, HI 96706-3566

Mailing address

91-1035 Opaehuna St
Ewa Beach, HI 96706-3566
Phone (808) 677-5805

Other identifiers 1

IdentifierTypeStateIssuer
512378MedicaidHI

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
121917970690FHIMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811034994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1035 OPAEHUNA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063566",
            "telephone_number": "808-677-5805",
            "fax_number": "808-671-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1035 OPAEHUNA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063566",
            "telephone_number": "808-677-5805",
            "fax_number": "808-671-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASINO",
        "first_name": "MARIVYN",
        "middle_name": "AURELIO",
        "name_prefix": "Mrs.",
        "credential": "C.N.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "HI",
            "license": "121917970690F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512378",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.