Individual provider Active NPI

Kristin Love Nemzer, LMFT

  • Marriage & Family Therapist
  • Hawi, HI
National Provider Identifier
1114252913
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT480 Issued in HI
Practice address
56-3006 Puakea Bay Dr, 278
Hawi, HI 96719
Phone
(808) 640-1200
NPI assigned
Oct 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC42308 CA
Marriage & Family Therapist 106H00000X MFT480 HI Primary

Addresses

Primary practice location

56-3006 Puakea Bay Dr, 278
Hawi, HI 96719

Mailing address

PO Box 278
Hawi, HI 96719-0278
Phone (831) 345-1500

Other practice location 1

406 Mission St
Suite E
Santa Cruz, CA 95060-3748
Phone (831) 345-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC42308CAMDMarriage & Family Therapist
MFT480HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Island Healing Marriage & Family Therapist CurrentSince Apr 16, 2023 Accepting new patients

Organizations & group practices 1

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": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1114252913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "HAWI",
            "state": "HI",
            "postal_code": "967190278",
            "telephone_number": "831-345-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-3006 PUAKEA BAY DR, 278",
            "city": "HAWI",
            "state": "HI",
            "postal_code": "96719",
            "telephone_number": "808-640-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Mission St",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950603748",
            "country_code": "US",
            "telephone_number": "831-345-1500",
            "fax_number": "831-423-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEMZER",
        "first_name": "KRISTIN",
        "middle_name": "LOVE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42308",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawi, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.