Active NPI
Stacie Kamitaki
- Occupational Therapist
- Honolulu, HI
National Provider Identifier
1922557412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1589
- Practice address
- 2444 Burbank St Apt C
Honolulu, HI 96817-1474 - Phone
- (808) 428-3238
- NPI assigned
- Sep 26, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1589 | HI | Primary |
Addresses
Primary practice location
2444 Burbank St Apt C
Honolulu, HI 96817-1474
Mailing address
2444 Burbank St Apt C
Honolulu, HI 96817-1474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Pensacola St
Honolulu, HI 96814-2118
Phone (808) 432-2160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1589 | HI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients |
Locations
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
1010 Pensacola St
Honolulu, HI 96814
Phone (808) 432-2000
599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600
Organizations & group practices 3
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.
-
- Radiology Clinic/Center
- Honolulu, HI
- NPI 1063515567
-
- Clinical Medical Laboratory
- Honolulu, HI
- NPI 1033232087
-
- Rural Health Clinic/Center
- Kahuku, HI
- NPI 1245773936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1922557412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2444 BURBANK ST APT C",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968171474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2444 BURBANK ST APT C",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968171474",
"telephone_number": "808-428-3238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMITAKI",
"first_name": "STACIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-26",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "HI",
"license": "1589",
"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 Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.