Active NPI
Ivy Lou Bahian Hibbitt, APRN
- Family Nurse Practitioner
- Kahului, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN 2160
- Practice address
- 285 W Kaahumanu Ave Ste 205
Kahului, HI 96732-1623 - Phone
- (808) 212-8787
- NPI assigned
- Sep 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN 2160 | HI | Primary |
Addresses
Primary practice location
285 W Kaahumanu Ave Ste 205
Kahului, HI 96732-1623
Mailing address
26 Hoku Puhipaka St
Kahului, HI 96732-4527
Phone (808) 212-8787
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 Kunehi St
Apt 206
Kapolei, HI 96707-2069
Phone (808) 674-6641
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN 2160 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Family Medicine | Current | Accepting new patients | |
| Hawaii Center for Children and Families, LLC | Current | Accepting new patients |
Locations
1600 Kapiolani Blvd
Ste 524
Honolulu, HI 96814
Phone (808) 203-3399
169 Maa St
Ste A
Kahului, HI 96732
Phone (808) 674-6641
285 W Kaahumanu Ave
Ste 205
Kahului, HI 96732
Phone (808) 873-0060
169 Maa St
Kahului, HI 96732
Phone (808) 727-1920
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counseling Psychologist
- Kapolei, HI
- NPI 1194163253
-
- Clinic/Center
- Kahului, HI
- NPI 1710511993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1043767726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 HOKU PUHIPAKA ST",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967324527",
"telephone_number": "808-212-8787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 W KAAHUMANU AVE STE 205",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967321623",
"telephone_number": "808-212-8787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIBBITT",
"first_name": "IVY LOU",
"middle_name": "BAHIAN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN 2160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.