Organization Active NPI

West Oahu Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Ewa Beach, HI
National Provider Identifier
1083343024
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WEST OAHU MENTAL HEALTH
Practice address
91-1001 Kaimalie St
Ewa Beach, HI 96706-6247
Phone
(808) 679-2680
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Dr. Renee Reine Foster, APRN,FNP,PMHNP,DNPNPI 1487943486
Title
Nurse Practitioner/Owner
Phone
(808) 679-2680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

91-1001 Kaimalie St
Ewa Beach, HI 96706-6247

Mailing address

91-1001 Kaimalie St
Ewa Beach, HI 96706-6247
Phone (808) 679-2680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230124002402 HI Part B Supplier - Clinic/Group Practice 1951772227 Receives reassigned benefits from 2 practitioners
Practice locations: Ewa Beach, HI

National Provider Directory

National Provider Directory

Locations

91-1001 Kaimalie St
Ewa Beach, HI 96706
Phone (808) 679-2680

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1083343024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1001 KAIMALIE ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066247",
            "telephone_number": "808-679-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1001 KAIMALIE ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066247",
            "telephone_number": "808-679-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST OAHU MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "REINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "808-679-2680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN,FNP,PMHNP,DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.