Individual provider Active NPI

Christine Eve Fiestas, CCC-SLP

  • Speech-Language Pathologist
  • Honolulu, HI
National Provider Identifier
1821373697
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1410 Lower Campus Rd
Department of CSD University of Hawai'I at Manoa
Honolulu, HI 96822-2313
Phone
(808) 956-6362
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

1410 Lower Campus Rd
Department of CSD University of Hawai'I at Manoa
Honolulu, HI 96822-2313

Mailing address

1410 Lower Campus Rd
Department of CSD University of Hawai'I at Manoa
Honolulu, HI 96822-2313
Phone (808) 956-6362

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1821373697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 LOWER CAMPUS RD",
            "address_2": "DEPARTMENT OF CSD UNIVERSITY OF HAWAI'I AT MANOA",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222313",
            "telephone_number": "808-956-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 LOWER CAMPUS RD",
            "address_2": "DEPARTMENT OF CSD UNIVERSITY OF HAWAI'I AT MANOA",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222313",
            "telephone_number": "808-956-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIESTAS",
        "first_name": "CHRISTINE",
        "middle_name": "EVE",
        "name_prefix": "Dr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 12, 2011; 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.