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JACQUELINE C DESA-SHISHIDO LPN
NPI 1114298569
Licensed Practical Nurse in Pahoa, HI

Active since January 17, 2012
15-2866 PAHOA VILLAGE RD, BLDG E., PAHOA, HI 96778(808) 965-2241(808) 965-2240 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline C Desa-shishido Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE C DESA-SHISHIDO LPN (NPI 1114298569) is an individual licensed practical nurse in Pahoa, Hawaii, licensed in Hawaii (9065) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1114298569
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACQUELINE C DESA-SHISHIDOCredential: LPN
Location Address15-2866 PAHOA VILLAGE RD, BLDG E.Pahoa, HI 96778-7720
Mailing Address1250 Punchbowl St, Rm 256Honolulu, HI 96813-2416 · (808) 590-7320 · Fax (808) 586-4675
Phone(808) 965-2241
Fax(808) 965-2240
Sole ProprietorNo
Enumeration DateJanuary 17, 2012
✔ NPI 1114298569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in HI · 9065
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
15-2866 PAHOA VILLAGE RD, Pahoa, HI 96778
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMANDA KRISTINA FREITAS
Health Educator
15-2866 PAHOA VILLAGE RD
PAHOA, HI 96778
Hawaii County (808) 965-3030
ERIC J WEBSTER MD
Family Medicine
15-2866 PAHOA VILLAGE RD
PAHOA, HI 96778
Hawaii County (808) 333-3600
WEST HAWAII COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
15-2866 PAHOA VILLAGE RD, BLDG C
PAHOA, HI 96778
Hawaii County (808) 965-9711
WILLIAM B MEINKE MD
Family Medicine
15-2866 PAHOA VILLAGE RD
PAHOA, HI 96778
Hawaii County (808) 965-9711
WEST HAWAII COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
15-2866 PAHOA VILLAGE RD, BLDG F
PAHOA, HI 96778
Hawaii County (808) 965-3038
ROXANNE C ESTES CNM APRN
Advanced Practice Midwife
15-2866 PAHOA VILLAGE RD, BUILDING F, SUITE 1
PAHOA, HI 96778
Hawaii County (808) 935-0211
KATHERINE CHRISTINE WILHELM MD
Family Medicine
15-2866 PAHOA VILLAGE RD, BLDG C
PAHOA, HI 96778
Hawaii County (808) 965-9711
AMY WILCOX RN
Health Educator
15-2866 PAHOA VILLAGE RD
PAHOA, HI 96778
Hawaii County (408) 334-7502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Desa-shishido's NPI number?

The NPI number for Jacqueline Desa-shishido is 1114298569. It was assigned to this individual provider in the NPPES registry on January 17, 2012.

Where is Jacqueline Desa-shishido located?

Jacqueline Desa-shishido practices at 15-2866 Pahoa Village Rd Bldg E., Pahoa, HI 96778. The listed phone number is (808) 965-2241.

What is Jacqueline Desa-shishido's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Desa-shishido was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.