Individual provider Active NPI

Christy Elisabeth Hartman, FNP-BC

  • Family Nurse Practitioner
  • Kahului, HI
National Provider Identifier
1093491318
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-4092-0 Issued in HI
Practice address
270 Dairy Rd Ste 239
Kahului, HI 96732-2986
Phone
(808) 667-6161
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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-4092-0 HI Primary

Addresses

Primary practice location

270 Dairy Rd Ste 239
Kahului, HI 96732-2986

Mailing address

270 Dairy Rd Ste 239
Kahului, HI 96732-2986
Phone (808) 667-6161

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
I20230919001858 HI Practitioner - Nurse Practitioner 2062876469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RP Medical LLCGroup PAC ID 3779877485, 19 clinicians

Practice addresses (Care Compare)

270 Dairy Rd
Suite 239
Kahului, HI 96732-2986
Phone (808) 667-6161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-4092-0HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Medical Practice PC CurrentSince Jun 1, 2026 Accepting new patients
RP Medical LLC CurrentSince Jun 30, 2023 Accepting new patients

Locations

270 Dairy Rd
Ste 239
Kahului, HI 96732

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1093491318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 DAIRY RD STE 239",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322986",
            "telephone_number": "808-667-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 DAIRY RD STE 239",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322986",
            "telephone_number": "808-667-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "CHRISTY",
        "middle_name": "ELISABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4092-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.