Individual provider Active NPI

Michelle Ulit Yasuda

  • Licensed Practical Nurse
  • Kapolei, HI
National Provider Identifier
1831752534
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
13591 Issued in HI
Practice address
92-1014 Makakilo Dr # 37
Kapolei, HI 96707-1381
Phone
(808) 627-5456
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 13591 HI Primary

Addresses

Primary practice location

92-1014 Makakilo Dr # 37
Kapolei, HI 96707-1381

Mailing address

92-1014 Makakilo Dr # 37
Kapolei, HI 96707-1381
Phone (808) 627-5456

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

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1831752534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-1014 MAKAKILO DR # 37",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071381",
            "telephone_number": "808-627-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-1014 MAKAKILO DR # 37",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071381",
            "telephone_number": "808-627-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASUDA",
        "first_name": "MICHELLE",
        "middle_name": "ULIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "HI",
            "license": "13591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.