Organization Active NPI

Islandmed Clinic, LLC

  • Clinic/Center
  • Honolulu, HI
National Provider Identifier
1043063084
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Natalia West, FNP-BCNPI 1487140273
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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.