Individual provider Active NPI

Haunani Annie Louis, APRN-RX

  • Family Nurse Practitioner
  • Kahuku, HI
National Provider Identifier
1083259782
Registry record updated Nov 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-2817 Issued in HI
Practice address
56-119 Pualalea St
Kahuku, HI 96731-2052
Phone
(808) 293-9231
NPI assigned
Nov 17, 2019
Last updated
Nov 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-2817 HI Primary

Addresses

Primary practice location

56-119 Pualalea St
Kahuku, HI 96731-2052

Mailing address

95-1145 Koolani Dr Apt 98
Mililani, HI 96789-5927
Phone (808) 222-2064

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
I20200417001172 HI Practitioner - Nurse Practitioner 1759711617 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
Group practices
The Wahiawa Center for Community HealthGroup PAC ID 6608154182, 16 clinicians

Practice addresses (Care Compare)

130 California Ave
Suite 106
Wahiawa, HI 96786-1554
Phone (808) 622-1618

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-2817HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laulea Behavioral Health, LLC Current Accepting new patients
The Wahiawa Center for Community Health CurrentSince Feb 8, 2021 Accepting new patients
Ko Olauloa Health Center Past Accepting new patients

Locations

130 California Ave
Ste 106
Wahiawa, HI 96786
Phone (808) 622-1618

302 California Ave
Ste 106
Wahiawa, HI 96786
Phone (808) 622-1618

Networks

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

Interoperability endpoints

  • Direct secure messaging: haunani.louis.1@15549.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573948800000",
    "number": "1083259782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1145 KOOLANI DR APT 98",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967895927",
            "telephone_number": "808-222-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-119 PUALALEA ST",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312052",
            "telephone_number": "808-293-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "HAUNANI",
        "middle_name": "ANNIE",
        "credential": "APRN-RX",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2019-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahuku, HI

Sources for this page

Verify at the official NPI Registry.