Individual provider Active NPI

Lise Marie Choucair, APRN

  • Registered Nurse
  • Honolulu, HI
National Provider Identifier
1033349477
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
APRN-1014 Issued in HI
Practice address
4224 Waialae Ave # 702
Honolulu, HI 96816-5330
Phone
(877) 445-4406
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X APRN-1014 HI Primary
Family Nurse Practitioner 363LF0000X RN-54293 HI

Addresses

Primary practice location

4224 Waialae Ave # 702
Honolulu, HI 96816-5330

Mailing address

642 Ulukahiki St
#103
Kailua, HI 96734-4400
Phone (808) 263-5174

Other identifiers 1

IdentifierTypeStateIssuer
00A0280394OtherHIHMSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN-1014HIMDRegistered Nurse
RN-54293HIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1033349477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST",
            "address_2": "#103",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344400",
            "telephone_number": "808-263-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 WAIALAE AVE # 702",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165330",
            "telephone_number": "877-445-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUCAIR",
        "first_name": "LISE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "APRN-1014",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "RN-54293",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0280394",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.