Individual provider Active NPI

Janna Ishikawa, MS, CCC-SLP

  • Speech-Language Pathologist
  • Honolulu, HI
National Provider Identifier
1962210112
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-2284 Issued in HI
Practice address
475 22ND Ave RM 127
Honolulu, HI 96816-4400
Phone
(808) 305-9812
NPI assigned
Dec 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-2284 HI Primary

Addresses

Primary practice location

475 22ND Ave RM 127
Honolulu, HI 96816-4400

Mailing address

475 22ND Ave RM 127
Honolulu, HI 96816-4400
Phone (808) 305-9812

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP-2284HIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Hawaii Department of Education CurrentSince Dec 22, 2024 Accepting new patients

Locations

475 22nd Ave
Rm 127
Honolulu, HI 96816
Phone (808) 305-9750

Organizations & group practices 1

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": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1962210112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 22ND AVE RM 127",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164400",
            "telephone_number": "808-305-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 22ND AVE RM 127",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164400",
            "telephone_number": "808-305-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIKAWA",
        "first_name": "JANNA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP-2284",
            "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 Dec 19, 2024; 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.