Active NPI
Islandmed Clinic, LLC
- Clinic/Center
- Honolulu, HI
National Provider Identifier
1043063084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ISLANDMED CLINIC, LLC
- Practice address
- 7192 Kalanianaole Hwy Ste G210
Honolulu, HI 96825-1849 - Phone
- (808) 431-0870
- Fax
- (808) 431-0880
- NPI assigned
- Apr 9, 2024
- 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
- Natalia West, FNP-BC
- Title
- Owner/Provider
- Phone
- (808) 431-0870
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
7192 Kalanianaole Hwy Ste G210
Honolulu, HI 96825-1849
Mailing address
7192 Kalanianaole Hwy Ste G210
Honolulu, HI 96825-1849
Phone (808) 431-0870
National Provider Directory
National Provider DirectoryLocations
7192 Kalanianaole Hwy
Ste G210
Honolulu, HI 96825
Phone (808) 431-0870
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Honolulu, HI
- NPI 1487140273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1043063084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7192 KALANIANAOLE HWY STE G210",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968251849",
"telephone_number": "808-431-0870",
"fax_number": "808-431-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7192 KALANIANAOLE HWY STE G210",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968251849",
"telephone_number": "808-431-0870",
"fax_number": "808-431-0880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLANDMED CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-09",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "NATALIA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "808-431-0870",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
- Island Urgent Care Waikiki LLC
- Island Urology Honolulu LLC
- Island Urology Oahu LLC
- Island Wellness & Health Inc
- Island Wellness Center, Inc.
- Islands Emergency Medical Service Hawaii, LLC
- Islands Healthcare Consultants
- Islands Hospice, Inc.
- Islands Skilled Nursing and Rehabilitation LLC
- Alexi N Ismail, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.