Individual provider Active NPI

Lanette L Abraham-Duncan, LMT

  • Reflexologist
  • Kailua Kona, HI
National Provider Identifier
1922264530
Registry record updated Aug 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
5826 Issued in HI
Practice address
75-5852 Alii Dr Ste 166
Kailua Kona, HI 96740-1310
Phone
(808) 334-0445
NPI assigned
Aug 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X 5826 HI Primary

Addresses

Primary practice location

75-5852 Alii Dr Ste 166
Kailua Kona, HI 96740-1310

Mailing address

77-142 Queen Kalama Ave
Kailua Kona, HI 96740-2444
Phone (808) 989-2155

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

LicenseStateTypeSpecialty
5826HIMDReflexologist

Practice roles

OrganizationSpecialtyStatusNew patients
Premkamal Spas LLC Past Accepting new patients
Cami Corp. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217721600000",
    "number": "1922264530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77-142 QUEEN KALAMA AVE",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402444",
            "telephone_number": "808-989-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5852 ALII DR STE 166",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401310",
            "telephone_number": "808-334-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM-DUNCAN",
        "first_name": "LANETTE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-03",
        "last_updated": "2008-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "HI",
            "license": "5826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.