Active NPI
Jennifer Carey, PBP
- Specialist
- Wailuku, HI
National Provider Identifier
1851677603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11698
- Practice address
- 871 Kolu St Ste 103
Wailuku, HI 96793-1456 - Phone
- (808) 269-3498
- NPI assigned
- Oct 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11698 | HI | Primary |
Addresses
Primary practice location
871 Kolu St Ste 103
Wailuku, HI 96793-1456
Mailing address
PO Box 12638
Lahaina, HI 96761-7638
Phone (808) 269-3498
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11698 | HI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1851677603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12638",
"city": "LAHAINA",
"state": "HI",
"postal_code": "967617638",
"telephone_number": "808-269-3498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 KOLU ST STE 103",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931456",
"telephone_number": "808-269-3498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "JENNIFER",
"credential": "PBP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "11698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.