NAOMI FUKUDA (NPI# 1629471834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629471834 |
| Entity Type | Individual |
| Full Name | NAOMI FUKUDA |
| Credential | APRN-RX, CDE |
| Practice Address |
91-2135 Fort Weaver Rd Suite 180 Ewa Beach HI 96706-3607 |
| Practice Telephone | 8086913370 |
| Mailing Telephone | 8086913370 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2016-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN-26851 | HI | Nursing Service Providers |
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
APRN-4 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
91-2135 FORT WEAVER RD SUITE 180 |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356164 | Leeward Radiation Oncology | Clinic/Center | 91-2135 Fort Weaver Rd, Ste B120, Ewa Beach, HI 96706-1929 | 2005-06-17 |
| 1427453695 | Richard Himmelmann Jr. | Acupuncturist | 91-2135 Fort Weaver Rd, #150, Ewa Beach, HI 96706-1940 | 2014-10-29 |
| 1356777874 | Carrie Hanae Shklov | Social Worker | 91-2135 Fort Weaver Rd, #501, Ewa Beach, HI 96706-1940 | 2013-09-16 |
| 1043554140 | Honolulu Vamc | Clinic/Center | 91-2135 Fort Weaver Rd, Suite 501, Ewa Beach, HI 96706-1940 | 2012-11-15 |
| 1104170935 | Brian W Kelley | Clinical Neuropsychologist | 91-2135 Fort Weaver Rd, Suite 501, Ewa Beach, HI 96706-1940 | 2012-10-31 |
| 1306051834 | Scott Sadamu Morioka | Physical Medicine & Rehabilitation | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2007-05-10 |
| 1184779217 | Carl F Hodel | Emergency Medicine | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2007-01-25 |
| 1649338294 | Eva Shear | Physician Assistant | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2006-12-05 |
| 1982780367 | Tai-yuan David Lin | Pathology | 91-2135 Fort Weaver Rd, #300, Ewa Beach, HI 96706-1940 | 2006-10-28 |
| 1619989597 | Workstar Occupational Health Systems Inc | Preventive Medicine | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
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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.