Active NPI
Marie Angelie E. Valencia
- Case Management Agency
- Waipahu, HI
National Provider Identifier
1962555185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 94-1128 Halelehua St
Waipahu, HI 96797-3703 - Phone
- (808) 680-7471
- Fax
- (808) 680-7471
- NPI assigned
- Jan 19, 2007
- 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 |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
94-1128 Halelehua St
Waipahu, HI 96797-3703
Mailing address
94-1128 Halelehua St
Waipahu, HI 96797-3703
Phone (808) 680-7471
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000533653 | Medicaid | HI | |
| 0000175543 | Medicaid | HI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962555185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-1128 HALELEHUA ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973703",
"telephone_number": "808-680-7471",
"fax_number": "808-680-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-1128 HALELEHUA ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973703",
"telephone_number": "808-680-7471",
"fax_number": "808-680-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "MARIE ANGELIE",
"middle_name": "E.",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000533653",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000175543",
"state": "HI"
}
],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.