Individual provider Active NPI

Rieke Herrmann Marzouki

  • Marriage & Family Therapist
  • Kahuku, HI
National Provider Identifier
1841998275
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
677 Issued in HI
Practice address
56-119 Pualalea St
Kahuku, HI 96731-2052
Phone
(808) 293-9231
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 677 HI Primary

Addresses

Primary practice location

56-119 Pualalea St
Kahuku, HI 96731-2052

Mailing address

58-274 Kamehameha Hwy Apt B
Haleiwa, HI 96712-8767
Phone (808) 551-4074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240922000100 HI Practitioner - Marriage and Family Therapist 4587106208 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
677HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ko Olauloa Health Center Current Accepting new patients

Locations

56-119 Pualalea St
Kahuku, HI 96731
Phone (808) 293-9231

Organizations & group practices 2

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": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1841998275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58-274 KAMEHAMEHA HWY APT B",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967128767",
            "telephone_number": "808-551-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-119 PUALALEA ST",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312052",
            "telephone_number": "808-293-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN MARZOUKI",
        "first_name": "RIEKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahuku, HI

Sources for this page

Verify at the official NPI Registry.