Integrated Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

INTEGRATED CARE LLC

Practice address

98-871 Kaonohi St Unit 57D
Aiea, HI 96701-2458

Phone

(808) 738-7671

NPI assigned

Oct 5, 2022

Last updated

May 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Andersen

Title

Owner

Phone

(808) 738-7671

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI, AZ2 enrollments

Enrollment records 2

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raquiel Andersen, DNP, FNP-C, PMHNP-C

  • Family Nurse Practitioner
  • Ewa Beach, HI
  • NPI 1942811997

  AZ

  Medicare reassignment Care Compare group
• Carissa Manreal Bolo, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Ewa Beach, HI
  • NPI 1023882081
  Medicare reassignment Care Compare group
• Amanda Leigh Aune, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Honolulu, HI
  • NPI 1881570943
  Medicare reassignment
• Azal Lopez, APRN

  • Nurse Practitioner
  • Kailua, HI
  • NPI 1992561872
  Medicare reassignment

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1053036798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-871 KAONOHI ST UNIT 57D",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967012458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-871 KAONOHI ST UNIT 57D",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967012458",
            "telephone_number": "808-738-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-738-7671"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Aiea, HI
• Providers in Aiea, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.