NPIMap

Individual provider Active NPI

Sherielee P Camacho-Fuentes, OTR

  • Occupational Therapist
  • Honolulu, HI
National Provider Identifier
1841474376
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT25 Issued in HI
Practice address
1360 S Beretania St
Suite 401
Honolulu, HI 96814-1520
Phone
(808) 521-4766
Fax
(808) 521-4768
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT25 HI Primary

Addresses

Primary practice location

1360 S Beretania St
Suite 401
Honolulu, HI 96814-1520

Mailing address

1360 S Beretania St
Suite 401
Honolulu, HI 96814-1520
Phone (808) 521-4766

Other identifiers 1

IdentifierTypeStateIssuer
507923MedicaidHI

Other names 1

  • Sherielee P Camacho Former 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT25HIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Hand & Rehabilitation Services LLC Occupational Therapist Past Accepting new patients
Range of Motion, Inc Past Accepting new patients
Hawaii Hand & Rehabilitation Services LLC Occupational Therapist Past Accepting new patients
Range of Motion Inc Occupational Therapist Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1841474376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S BERETANIA ST",
            "address_2": "SUITE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141520",
            "telephone_number": "808-521-4766",
            "fax_number": "808-521-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S BERETANIA ST",
            "address_2": "SUITE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141520",
            "telephone_number": "808-521-4766",
            "fax_number": "808-521-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO-FUENTES",
        "first_name": "SHERIELEE",
        "middle_name": "P",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507923",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERIELEE",
            "last_name": "CAMACHO",
            "middle_name": "P",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 19, 2007; 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.