Individual provider Active NPI

Lucky Robinson, APRN, AGPC-NP-C

  • Adult Health Nurse Practitioner
  • Lihue, HI
National Provider Identifier
1043873698
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3052 Issued in HI
Practice address
3501 Rice St Ste 2020
Lihue, HI 96766-1757
Phone
(808) 378-2400
Fax
(866) 783-9834
NPI assigned
Apr 18, 2019
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 225067 AZ
Adult Health Nurse Practitioner 363LA2200X 3052 HI Primary

Addresses

Primary practice location

3501 Rice St Ste 2020
Lihue, HI 96766-1757

Mailing address

3501 Rice St Ste 2020
Lihue, HI 96766-1757
Phone (808) 378-2400

Other names 1

  • Lucky Keonavong-Robinson Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210129001328 HI Practitioner - Nurse Practitioner 0941637425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3501 Rice St
Suite 2020
Lihue, HI 96766-1757
Phone (808) 378-2400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3052HIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blessed Hands IV Hydration & Wellness LLC Adult Health CurrentSince Oct 14, 2020 Accepting new patients

Locations

3501 Rice St
Ste 2020
Lihue, HI 96766
Phone (808) 245-7548

3501 Rice St
Ste 2022
Lihue, HI 96766
Phone (808) 755-5056

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1043873698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 RICE ST STE 2020",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661757",
            "telephone_number": "808-378-2400",
            "fax_number": "866-783-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 RICE ST STE 2020",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661757",
            "telephone_number": "808-378-2400",
            "fax_number": "866-783-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "LUCKY",
        "credential": "APRN, AGPC-NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "225067",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "3052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCKY",
            "last_name": "KEONAVONG-ROBINSON",
            "credential": "APRN, AGPC-NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.