Made R Alder

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F08230808 Issued in UT

Practice address

642 Ulukahiki St Ste 209
Kailua, HI 96734-4439

Phone

(808) 230-8500

Fax

(808) 230-8501

NPI assigned

Aug 23, 2023

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Koolau Womens Health Care IncGroup PAC ID 4385679414, 5 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Koolau Womens Health Care Inc

  • Obstetrics & Gynecology Physician
  • Kailua, HI
  • NPI 1427082445
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1013791623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST STE 209",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344439",
            "telephone_number": "808-230-8500",
            "fax_number": "808-230-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST STE 209",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344439",
            "telephone_number": "808-230-8500",
            "fax_number": "808-230-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 W 600 N",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840431514",
            "country_code": "US",
            "telephone_number": "801-668-0549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1329 Lusitana St Ste 508",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132412",
            "country_code": "US",
            "telephone_number": "808-888-3449",
            "fax_number": "808-230-8501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDER",
        "first_name": "MADE",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "F08230808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katia Alcala
• Carly Paige Aldag, FNP, BC
• Aligned Center for Mental & Physical Performance LLC
• Aligned Mental Health and Wellness Studio LLC
• Phillip M Allen
• Allied Nutrition Works LLC
• Austin Allwein

• Family Nurse Practitioner in Kailua, HI
• Providers in Kailua, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.