Active NPI
Elizabeth R. K. Tomoso, OTR
- Occupational Therapist
- Lanai City, HI
National Provider Identifier
1871709816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 495
- Practice address
- 832 Kiele St
Lanai City, HI 96763 - Phone
- (808) 565-7204
- Fax
- (808) 565-9319
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 495 | HI | Primary |
Addresses
Primary practice location
832 Kiele St
Lanai City, HI 96763
Mailing address
PO Box 130
Kaunakakai, HI 96748-0130
Phone (808) 565-7204
Other practice location 1
768 Kekona Pl
Makawao, HI 96768-9028
Phone (808) 280-5176
Other practice location 2
604 Maunaloa Hwy
Bldg C
Kaunakakai, HI 96748-0130
Phone (808) 560-3653
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
| License | State | Type | Specialty |
|---|---|---|---|
| 495 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NA Pu'Uwai | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21516/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Adult Day Care Clinic/Center
- Kaunakakai, HI
- NPI 1447782123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1871709816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "KAUNAKAKAI",
"state": "HI",
"postal_code": "967480130",
"telephone_number": "808-565-7204",
"fax_number": "808-565-9319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 KIELE ST",
"city": "LANAI CITY",
"state": "HI",
"postal_code": "96763",
"telephone_number": "808-565-7204",
"fax_number": "808-565-9319"
}
],
"practiceLocations": [
{
"address_1": "768 Kekona Pl",
"address_purpose": "LOCATION",
"city": "Makawao",
"state": "HI",
"postal_code": "967689028",
"country_code": "US",
"telephone_number": "808-280-5176",
"fax_number": "808-270-3317",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "604 Maunaloa Hwy",
"address_2": "Bldg C",
"address_purpose": "LOCATION",
"city": "Kaunakakai",
"state": "HI",
"postal_code": "967480130",
"country_code": "US",
"telephone_number": "808-560-3653",
"fax_number": "808-560-3385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOMOSO",
"first_name": "ELIZABETH",
"middle_name": "R. K.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "HI",
"license": "495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanai City, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.