Individual provider Active NPI

Lori Kinoshita, FNP

  • Nurse Practitioner
  • Kahului, HI
National Provider Identifier
1053461947
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN102 Issued in HI
Practice address
169 Ma'a St.
Suite B
Kahului, HI 96732-3603
Phone
(808) 877-2020
Fax
(808) 877-6060
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN102 HI Primary

Addresses

Primary practice location

169 Ma'a St.
Suite B
Kahului, HI 96732-3603

Mailing address

169 Ma'a St
Suite B
Kahului, HI 96732-3603
Phone (808) 877-2020

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
I20100826000648 HI Practitioner - Nurse Practitioner 1052435195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Geffen School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kevin K Kato MD IncGroup PAC ID 0042206054, 3 clinicians

Practice addresses (Care Compare)

169 Maa St
Suite B
Kahului, HI 96732-3634
Phone (808) 877-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
102HIMDNaturopath
APRN102HIMDNurse Practitioner

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIAEAD/Endpoint/FIAEAD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1053461947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MA'A ST",
            "address_2": "SUITE B",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323603",
            "telephone_number": "808-877-2020",
            "fax_number": "808-877-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MA'A ST.",
            "address_2": "SUITE B",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323603",
            "telephone_number": "808-877-2020",
            "fax_number": "808-877-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINOSHITA",
        "first_name": "LORI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.