Editha Festejo Domaoal, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

HI000013155E Issued in HI

Practice address

1429 Kamehameha IV Rd
Honolulu, HI 96819-2545

Phone

(808) 600-9062

NPI assigned

May 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1982288700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 KAMEHAMEHA IV RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968192545",
            "telephone_number": "808-600-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 KAMEHAMEHA IV RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968192545",
            "telephone_number": "808-600-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMAOAL",
        "first_name": "EDITHA",
        "middle_name": "FESTEJO",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "HI",
            "license": "HI000013155E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE FOSTER FAMILY HOME CERTIFICATION NUMBER",
            "identifier": "1-210015",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNA CERTIFICATION NUMBER",
            "identifier": "HI000013155E",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maegan L. M. Doi, M.D.
• Taylee Doi
• Kanna Dokgo
• Stephanie Kiko Dolby, MSCP
• Megan Dolores
• Charlene Dichoso Domingo-Yamamoto, L.AC., M.AC.O.M.
• Analiza Domingo, RN
• Anela-Rae Sadako Kamakana Domingo
• Arthur Burgos Domingo, PA-C
• Carlo Domingo

• Nurse's Aide in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Nurse's Aide in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.