Active NPI
Optimum Health and Wellness Hawaii
- Health Service Clinic/Center
- Kailua, HI
National Provider Identifier
1033882105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- OPTIMUM HEALTH AND WELLNESS HAWAII
- Practice address
- 74 Kihapai St
Kailua, HI 96734-2612 - Phone
- (808) 490-3250
- NPI assigned
- Jul 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Boling, MPH, MSN, APRN-RX
- Title
- Owner
- Phone
- (808) 490-3250
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
74 Kihapai St
Kailua, HI 96734-2612
Mailing address
74 Kihapai St
Kailua, HI 96734-2612
Phone (808) 490-3250
National Provider Directory
National Provider DirectoryLocations
74 Kihapai St
Kailua, HI 96734
Phone (808) 263-3500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Kailua, HI
- NPI 1457978959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643760000000",
"number": "1033882105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 KIHAPAI ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342612",
"telephone_number": "808-490-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 KIHAPAI ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342612",
"telephone_number": "808-490-3250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM HEALTH AND WELLNESS HAWAII",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-26",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A",
"authorized_official_last_name": "BOLING",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-490-3250",
"authorized_official_credential": "MPH, MSN, APRN-RX"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.