Individual provider Active NPI

Skylane Kaleookalani Ishibashi, M.A.

  • Marriage & Family Therapist
  • Hilo, HI
National Provider Identifier
1821246042
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
234 Waianuenue Ave
Suite 215
Hilo, HI 96720-2418
Phone
(808) 935-7949
Fax
(808) 935-5996
NPI assigned
Aug 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

234 Waianuenue Ave
Suite 215
Hilo, HI 96720-2418

Mailing address

234 Waianuenue Ave
Suite 215
Hilo, HI 96720-2418
Phone (808) 935-7949

Other names 1

  • Mr. Sky Ishibashi Other 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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1821246042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 WAIANUENUE AVE",
            "address_2": "SUITE 215",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202418",
            "telephone_number": "808-935-7949",
            "fax_number": "808-935-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WAIANUENUE AVE",
            "address_2": "SUITE 215",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202418",
            "telephone_number": "808-935-7949",
            "fax_number": "808-935-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIBASHI",
        "first_name": "SKYLANE",
        "middle_name": "KALEOOKALANI",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SKY",
            "last_name": "ISHIBASHI",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.