Active NPI
Ireneo Espinosa, RN
- Registered Nurse
- Pearl Harbor, HI
National Provider Identifier
1902328560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 69380
- Practice address
- 480 Central Avenue
Naval Health Clinic Hawaii
Pearl Harbor, HI 96860 - Phone
- (808) 474-4242
- NPI assigned
- Jul 14, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 69380 | HI | Primary |
Addresses
Primary practice location
480 Central Avenue
Naval Health Clinic Hawaii
Pearl Harbor, HI 96860
Mailing address
Naval Health Clinic Hawaii
480 Central Avenue
Pearl Harbor, HI 96860
Phone (808) 474-4242
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69380 | HI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902328560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAVAL HEALTH CLINIC HAWAII",
"address_2": "480 CENTRAL AVENUE",
"city": "PEARL HARBOR",
"state": "HI",
"postal_code": "96860",
"telephone_number": "808-474-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 CENTRAL AVENUE",
"address_2": "NAVAL HEALTH CLINIC HAWAII",
"city": "PEARL HARBOR",
"state": "HI",
"postal_code": "96860",
"telephone_number": "808-474-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOSA",
"first_name": "IRENEO",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "69380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearl Harbor, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.