Active NPI
Jack Robert Fields-Nelson
- Social Worker
- Honolulu, HI
National Provider Identifier
1912315433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 430 Kaiolu St Apt 909
Honolulu, HI 96815-2232 - Phone
- (720) 556-9026
- NPI assigned
- Jul 28, 2014
- Sex
- Male
- 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 | HI | Primary |
Addresses
Primary practice location
430 Kaiolu St Apt 909
Honolulu, HI 96815-2232
Mailing address
430 Kaiolu St Apt 909
Honolulu, HI 96815-2232
Phone (720) 556-9026
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1912315433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 KAIOLU ST APT 909",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968152232",
"telephone_number": "720-556-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 KAIOLU ST APT 909",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968152232",
"telephone_number": "720-556-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS-NELSON",
"first_name": "JACK",
"middle_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-28",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.