Mary I. Jang, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN1042 Issued in HI

Practice address

1451 S King St
Suite 402
Honolulu, HI 96814-2506

Phone

(808) 941-7799

NPI assigned

Jul 8, 2011

Last updated

Feb 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• In K Jang Former name

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mauna Kea Healing Center,LLC

  • Family Nurse Practitioner
  • Honolulu, HI
  • NPI 1235574419
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1073800157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 HEULU ST",
            "address_2": "#306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968223084",
            "telephone_number": "808-386-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 S KING ST",
            "address_2": "SUITE 402",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142506",
            "telephone_number": "808-941-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "MARY",
        "middle_name": "I.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN1042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IN",
            "last_name": "JANG",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janalle Kaloi-Chen PSYD LLC
• Jane B Service MD
• Janet Breckenridge, LLC
• Erika Heeyun Jang, APRN
• Jai Hyuk Jang, PH.D., L.AC.
• Siriporn Jenjai Jang, L.AC., D.AC.
• Janice K. Harada, M.D., Inc.
• Janice Matsunaga, M.D., Inc.
• Janice Y.W. Chang, Psy.D. Inc.
• Bryant Kalani Lanikuakaa Janicki, MSW

• Family Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, 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 Feb 9, 2016; 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.

Verify at the official NPI Registry.