Peggy S. O'Neal, CERTIFIED NURSE - MI

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

13163 Issued in HI

Practice address

15-2866 Pahoa Village Rd BLDG C
Pahoa, HI 96778-7720

Phone

(808) 333-3600

NPI assigned

Jan 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other names 1

• Peggy S Gann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Hawaii Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pahoa, HI
  • NPI 1689814022

  Registered Nurse

  NPD

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1013247295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY STE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401753",
            "telephone_number": "808-333-3600",
            "fax_number": "808-961-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-2866 PAHOA VILLAGE RD BLDG C",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967787720",
            "telephone_number": "808-333-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Pu'uhonu Place",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967202060",
            "country_code": "US",
            "telephone_number": "808-333-3500",
            "fax_number": "229-888-5535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "PEGGY",
        "middle_name": "S.",
        "credential": "CERTIFIED NURSE - MI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "74555",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "15831",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "155640",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "1692",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN206655",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "HI",
            "license": "13163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "GANN",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shareef Jihad Muhammad, LPC
• Nicolas Myrianthis, PT
• Kelly Nafie, M.A.
• Kelly Nedved, L.AC.
• Gary Lee Norman, LICSW, LCSW
• Tonya Olanna
• Orchid Isle Health LLC
• Sandra Lee Osborne, LMHC
• Pahoa Chiropractic, LLC
• Pahoa Counseling LLC

• Advanced Practice Midwife in Pahoa, HI
• Providers in Pahoa, HI by specialty
• Advanced Practice Midwife in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.