Individual provider Active NPI

Josette Dudoit, APRN-RX, R.D.

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1083846273
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-1881 Issued in HI
Practice address
1380 Lusitana St
Suite 814
Honolulu, HI 96813-2449
Phone
(808) 521-3802
Fax
(808) 521-1738
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 991188 IN
Family Nurse Practitioner 363LF0000X APRN-1881 HI Primary

Addresses

Primary practice location

1380 Lusitana St
Suite 814
Honolulu, HI 96813-2449

Mailing address

1380 Lusitana St
Suite 814
Honolulu, HI 96813-2449
Phone (808) 521-3802

Other identifiers 1

IdentifierTypeStateIssuer
000289637OtherHIHMSA

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
I20150616000023 HI Practitioner - Nurse Practitioner 2365762515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991188INMDRegistered Dietitian
APRN-1881HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Medical Group LLC CurrentSince Jul 3, 2023 Accepting new patients
Eugene G C Wong MD Inc CurrentSince May 1, 2015 Accepting new patients

Locations

1380 Lusitana St
Ste 612
Honolulu, HI 96813
Phone (808) 450-2290

1380 Lusitana St
Ste 814
Honolulu, HI 96813
Phone (808) 521-3802

1380 Lusitana St
Ste 907
Honolulu, HI 96813
Phone (808) 638-2642

1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707

Networks

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

Organizations & group practices 2

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1083846273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 814",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-521-3802",
            "fax_number": "808-521-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 814",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-521-3802",
            "fax_number": "808-521-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDOIT",
        "first_name": "JOSETTE",
        "name_prefix": "Mrs.",
        "credential": "APRN-RX, R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "991188",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-1881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "000289637",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.