Active NPI
Susanna Estaniqui, PA-C
- Physician Assistant
- Schofield Barracks, HI
National Provider Identifier
1821115734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AMD275
- Practice address
- US Army Health Clinic
BLDG 683
Schofield Barracks, HI 96786 - Phone
- (808) 433-8024
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AMD275 | HI | Primary |
Addresses
Primary practice location
US Army Health Clinic
BLDG 683
Schofield Barracks, HI 96786
Mailing address
US Army Health Clinic
BLDG 683
Wahiawa, HI 96786
Phone (808) 561-9508
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMD275 | HI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1821115734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "US ARMY HEALTH CLINIC",
"address_2": "BLDG 683",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "96786",
"telephone_number": "808-561-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US ARMY HEALTH CLINIC",
"address_2": "BLDG 683",
"city": "SCHOFIELD BARRACKS",
"state": "HI",
"postal_code": "96786",
"telephone_number": "808-433-8024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTANIQUI",
"first_name": "SUSANNA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "HI",
"license": "AMD275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schofield Barracks, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.