Active NPI
Jessica Palomino
- Pediatric Registered Nurse
- Kahuku, HI
National Provider Identifier
1942851142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 78190
- Practice address
- 56-660 Kamehameha Hwy
Kahuku, HI 96731-2210 - Phone
- (877) 393-7555
- NPI assigned
- Sep 28, 2019
- Last updated
- Sep 28, 2019
- 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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 78190 | HI | Primary |
Addresses
Primary practice location
56-660 Kamehameha Hwy
Kahuku, HI 96731-2210
Mailing address
59-215 Ke Nui Rd Apt F
Haleiwa, HI 96712-9601
Phone (801) 512-4474
Other practice location 1
1319 Punahou St
Honolulu, HI 96826-1001
Phone (808) 983-6000 ext. 38681
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 |
|---|---|---|---|
| 78190 | HI | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569628800000",
"number": "1942851142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59-215 KE NUI RD APT F",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967129601",
"telephone_number": "801-512-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56-660 KAMEHAMEHA HWY",
"city": "KAHUKU",
"state": "HI",
"postal_code": "967312210",
"telephone_number": "877-393-7555"
}
],
"practiceLocations": [
{
"address_1": "1319 Punahou St",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968261001",
"country_code": "US",
"telephone_number": "808-983-6000 x38681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALOMINO",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-28",
"last_updated": "2019-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "HI",
"license": "78190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kahuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.