MARY THERESA SELF (NPI# 1114580826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114580826 |
| Entity Type | Individual |
| Full Name | MARY THERESA SELF |
| Credential | RN |
| Practice Address |
1651 Mott-smith Dr Apt D Honolulu HI 96822-2802 |
| Practice Telephone | 8082021534 |
| Mailing Telephone | 8082021534 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
65441 | HI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053402511 | Mary M Self | Technician/Technologist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2006-09-27 |
| 1306882170 | Mary T Self | Internal Medicine | 6400 Dutchmans Pkwy Ste 345, Louisville, KY 40205-3370 | 2006-06-21 |
| Street Address |
1651 MOTT-SMITH DR APT D |
| City | HONOLULU |
| State | HI |
| Zip Code | 96822-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980231 | Talia Rachel Schwartz | Counselor | 2444 Dole St, Krauss Hall 101, The University of Hawaii At Manoa, Honolulu, HI 96822 | 2019-09-11 |
| 1689239667 | Taylor Stacy | Psychologist | 2444 Dole Street, Krauss Hall 101, Honolulu, HI 96822 | 2019-05-06 |
| 1881152916 | Talaivosa Moala | Nurse's Aide | 1929-a Wilder Avenue, Honolulu, HI 96822 | 2019-03-07 |
| 1720505761 | Nalani Cook | Physical Therapist | 3577 Pinao Street, Unit 48, Honolulu, HI 96822 | 2017-08-29 |
| 1568986230 | Aaron Michael Neis | Student in an Organized Health Care Education/Training Program | 2444 Dole Street, Krauss Hall 23, Honolulu, HI 96822 | 2017-08-03 |
| 1568985448 | Tommie Mitsuko Yamamoto | Student in an Organized Health Care Education/Training Program | 2530 Dole Street, Sakamaki C 400, Honolulu, HI 96822 | 2017-07-21 |
| 1568997005 | Wade Yamasaki | Specialist/Technologist | 1337 Lower Campus Road, Honolulu, HI 96822 | 2017-04-21 |
| 1699123067 | Elyssa Nakanishi | Technician, Other | 1330 Wilder Ave Apt 319, Honolulu, HI 96822 | 2016-05-26 |
| 1619348737 | Amanda Marie Vincent | Counselor | Sakamaki Hall C400, 2530 Dole St., University of Hawaii At Manoa Department of Psychology, Honolulu, HI 96822 | 2015-10-15 |
| 1982081139 | Virginia Huntley | Physical Therapist | 3588a Woodlawn Drive, Honolulu, HI 96822 | 2015-04-27 |
| Find all providers in zip 96822 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841838182 | Katherine 'katie' Jo Garvey | Registered Nurse | 475 Atkinson Dr Apt 1201, Honolulu, HI 96814-4715 | 2019-12-17 |
| 1750934626 | Jishel Lund | Registered Nurse | 2271 Center St, Honolulu, HI 96818-2613 | 2019-07-19 |
| 1962064105 | Melanie Susan Walker | Registered Nurse | 478 Kaumakani St, Honolulu, HI 96825-2325 | 2019-07-08 |
| 1477119204 | Yank Sook Park | Registered Nurse | 1296 Kapiolani Blvd Apt 3007, Honolulu, HI 96814-2886 | 2019-05-16 |
| 1942865357 | Eunkyung Lee | Registered Nurse | 1517 Makiki St Apt 401, Honolulu, HI 96822-4516 | 2019-05-01 |
| 1154985067 | Carmen N Malinis | Registered Nurse | 3797 Sierra Drive, Honolulu, HI 96816-7813 | 2019-04-25 |
| 1952965964 | Meagan Hitomi Kubo | Registered Nurse | 835 19th Ave, Honolulu, HI 96816-4503 | 2019-04-24 |
| 1093379125 | Gail Kazue Ouchi Ramiscal | Registered Nurse | 1519 Queen Emma St, Honolulu, HI 96813-2002 | 2019-04-24 |
| 1093379216 | Pamela Ishizu | Registered Nurse | 2015 Lime St Apt 404, Honolulu, HI 96826-3927 | 2019-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358804 | Jobelle Velasquez Serapion | Registered Nurse | 86-409b Halona Rd, Waianae, HI 96792-2807 | 2020-02-20 |
| 1144878034 | Corazon Viloria Soriano | Registered Nurse | 94-406 Makalu Loop, Mililani, HI 96789-2405 | 2019-09-03 |
| 1336793777 | Heather Nakamura | Registered Nurse | 94-1009 Mahinahina St, Waipahu, HI 96797-4842 | 2019-07-24 |
| 1730732611 | Sarah Kuma | Registered Nurse | 447 Hinano Way, Kailua, HI 96734-2235 | 2019-07-19 |
| 1245892355 | Milagros Cruz Caparas | Registered Nurse | 91-1929 Luahoana St, Ewa Beach, HI 96706-5916 | 2019-06-28 |
| 1568028199 | Metodia Bella Marie Alvarado | Registered Nurse | 89 980 Nanakuli Avenue, Waianae, HI 96792-1918 | 2019-05-20 |
| 1821653064 | Pamela Keanini | Registered Nurse | 91-2198 Kanela St, Ewa Beach, HI 96706-5962 | 2019-05-02 |
| 1376108746 | Amber Griffis | Registered Nurse | 3509 Collier Loop, Wahiawa, HI 96786-3694 | 2019-05-01 |
| 1669036422 | Corina Elmore | Registered Nurse | 47-433 Waihee Rd, Kaneohe, HI 96744-4952 | 2019-04-26 |
| 1083278907 | Lauren Nicole Cassara | Registered Nurse | 330a Manono St, Kailua, HI 96734-2277 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.