Active NPI
Maricel Corpuz
- Nurse's Aide
- Waipahu, HI
National Provider Identifier
1912574674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- HI040806171
- Practice address
- 94-972 Lumiloke St
Waipahu, HI 96797-3962 - Phone
- (808) 620-7014
- NPI assigned
- Jun 9, 2021
- Last updated
- Jun 9, 2021
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | HI040806171 | HI | Primary |
Addresses
Primary practice location
94-972 Lumiloke St
Waipahu, HI 96797-3962
Mailing address
94-972 Lumiloke St
Waipahu, HI 96797-3962
Phone (808) 620-7014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HI040806171 | Other | HI | NURSE AIDE LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Home | Direct |
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 |
|---|---|---|---|
| HI040806171 | HI | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1912574674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-972 LUMILOKE ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973962",
"telephone_number": "808-620-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-972 LUMILOKE ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973962",
"telephone_number": "808-620-7014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORPUZ",
"first_name": "MARICEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "HI",
"license": "HI040806171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE AIDE LICENSE NUMBER",
"identifier": "HI040806171",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Home",
"affiliation": "N",
"endpointDescription": "Home",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "94-972 Lumiloke St",
"city": "Waipahu",
"state": "HI",
"country_code": "US",
"postal_code": "967973962",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.