Organization Active NPI

Nahale Family Clinic

  • Family Medicine Physician
  • Kailua Kona, HI
National Provider Identifier
1013598200
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NAHALE FAMILY CLINIC
Practice address
77-6403 Nalani St Unit 1
Kailua Kona, HI 96740-9763
Phone
(808) 376-1665
NPI assigned
Apr 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Jeannie Clement
Title
Ceo
Phone
(801) 706-6726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

77-6403 Nalani St Unit 1
Kailua Kona, HI 96740-9763

Mailing address

PO Box 28
Kailua Kona, HI 96745
Phone (801) 706-6726

Other names 1

  • Nahale Family Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

77-6403 Nalani St
Unit 1F3
Kailua Kona, HI 96740

77-6403 Nalani St
Unit 1
Kailua Kona, HI 96740
Phone (808) 376-1665

77-6403 Nalani St
Unit 1ST
Kailua Kona, HI 96740
Phone (808) 376-1665

77-6403 Nalani St
#1F3
Kailua Kona, HI 96740

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1013598200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "96745",
            "telephone_number": "801-706-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77-6403 NALANI ST UNIT 1",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967409763",
            "telephone_number": "808-376-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAHALE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "CLEMENT",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-706-6726"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nahale Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.