Resurreccion Bumanglag Buan, CNA

Primary specialty

SpecialistTaxonomy code 174400000X

License

1-100030 Issued in HI

Practice address

91-1044 Uouoa St
Ewa Beach, HI 96706-3593

Phone

(808) 223-6497

Fax

(808) 671-1726

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1821619156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1044 UOUOA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063593",
            "telephone_number": "808-223-6497",
            "fax_number": "808-671-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1044 UOUOA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063593",
            "telephone_number": "808-223-6497",
            "fax_number": "808-671-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUAN",
        "first_name": "RESURRECCION",
        "middle_name": "BUMANGLAG",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "1-100030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "754714",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Brock-Kuanoni
• Renee Broekhuizen
• Destiny Sharion Brown, MSW
• Kaleilehua Hulihee Bruchal, CRNFA
• T'Shea Renee Bryant
• Nalene Bui, DMD
• Jennifer M Bull, CMT,LMT, NMT
• Constancio G Bumanglag Jr., PBT, ASCP
• Julius Bumanglag
• Robson George Takashi Bunda

• Specialist in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.