NPIMap

Organization Active NPI

Honolulu Wellness Group, Inc.

  • General Practice Physician
  • Honolulu, HI
National Provider Identifier
1962940965
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HONOLULU WELLNESS GROUP, INC.
Practice address
1314 S King St Ste 1655
Honolulu, HI 96814-1950
Phone
(808) 924-7246
Fax
(833) 849-4198
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Tracie Asayama
Title
President
Phone
(808) 591-9339

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X

Addresses

Primary practice location

1314 S King St Ste 1655
Honolulu, HI 96814-1950

Mailing address

1314 S King St Ste 1654
Honolulu, HI 96814-1950
Phone (808) 924-7246

Other practice location 1

261 Waianuenue Ave
Hilo, HI 96720-2438
Phone (808) 924-7246

Other names 1

  • Honolulu Massage Therapy, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231128001488 HI Part B Supplier - Clinic/Group Practice 2567810898 Receives reassigned benefits from 5 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

261 Waianuenue Ave
Hilo, HI 96720
Phone (808) 961-2491

1314 S King St
Ste 1563
Honolulu, HI 96814
Phone (808) 591-9339

1314 S King St
Ste 1654
Honolulu, HI 96814
Phone (808) 924-7246

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1962940965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 1654",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141950",
            "telephone_number": "808-924-7246",
            "fax_number": "833-849-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 1655",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141950",
            "telephone_number": "808-924-7246",
            "fax_number": "833-849-4198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "261 Waianuenue Ave",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967202438",
            "country_code": "US",
            "telephone_number": "808-924-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HONOLULU WELLNESS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "ASAYAMA",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-591-9339"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Honolulu Massage Therapy, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.