Individual provider Active NPI

Makamae J H Makuakane

  • Non-emergency Medical Transport (VAN)
  • Kaneohe, HI
National Provider Identifier
1972185866
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
977-C Issued in HI
Practice address
45-1095 Grote Rd Apt a
Kaneohe, HI 96744-3257
Phone
(808) 425-3696
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 977-C HI Primary

Addresses

Primary practice location

45-1095 Grote Rd Apt a
Kaneohe, HI 96744-3257

Mailing address

PO Box 1611
Kaneohe, HI 96744-1611
Phone (808) 425-3696

Other identifiers 1

IdentifierTypeStateIssuer
814667MedicaidHI

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL none
CONNECT URL n/a

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

LicenseStateTypeSpecialty
977-CHIMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1972185866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1611",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967441611",
            "telephone_number": "808-425-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-1095 GROTE RD APT A",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443257",
            "telephone_number": "808-425-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKUAKANE",
        "first_name": "MAKAMAE J",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "HI",
            "license": "977-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "814667",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "none",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Home address",
            "address_1": "45-1095 Grote Rd Apt A",
            "city": "Kaneohe",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967443257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "45-1095 Grote Rd Apt A",
            "city": "Kaneohe",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967443257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.