Individual provider Active NPI

Wilhelmina Gotuaco, LMT

  • Massage Therapist
  • Hilo, HI
National Provider Identifier
1982901112
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7237 Issued in HI
Practice address
740 Kilauea Ave
Hilo, HI 96720-4234
Phone
(808) 935-5255
Fax
(808) 961-9044
NPI assigned
Feb 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7237 HI Primary

Addresses

Primary practice location

740 Kilauea Ave
Hilo, HI 96720-4234

Mailing address

740 Kilauea Ave
Hilo, HI 96720-4234
Phone (808) 935-5255

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
7237HIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1982901112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 KILAUEA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204234",
            "telephone_number": "808-935-5255",
            "fax_number": "808-961-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 KILAUEA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204234",
            "telephone_number": "808-935-5255",
            "fax_number": "808-961-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTUACO",
        "first_name": "WILHELMINA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "7237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.