Active NPI
Gayle Dudoit Diaz, MSW,LSW
- Social Worker
- Tamc, HI
National Provider Identifier
1902946023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1074
- Practice address
- 1 Jarrett White Rd
Tamc, HI 96859-5001 - Phone
- (808) 222-6499
- NPI assigned
- Feb 7, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 1074 | HI | Primary |
Addresses
Primary practice location
1 Jarrett White Rd
Tamc, HI 96859-5001
Mailing address
91-1068 Koanimakani St
Kapolei, HI 96707-2934
Phone (808) 222-6499
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 |
|---|---|---|---|
| 1074 | HI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902946023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1068 KOANIMAKANI ST",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072934",
"telephone_number": "808-222-6499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TAMC",
"state": "HI",
"postal_code": "968595001",
"telephone_number": "808-222-6499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "GAYLE",
"middle_name": "DUDOIT",
"credential": "MSW,LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "HI",
"license": "1074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamc, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.