Individual provider Active NPI

Catherine Louise Underwood, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1114674538
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-3561 Issued in HI
Practice address
2470 S King St
Honolulu, HI 96826-5808
Phone
(808) 947-2651
NPI assigned
Mar 5, 2022
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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-3561 HI Primary

Addresses

Primary practice location

2470 S King St
Honolulu, HI 96826-5808

Mailing address

2470 S King St
Honolulu, HI 96826-5808

Other practice location 1

320 Ward Ave
Honolulu, HI 96814-4001
Phone (808) 913-6996

Other practice location 2

2470 S King St
Honolulu, HI 96826-5808
Phone (808) 947-2651

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
I20220331000959 HI Practitioner - Nurse Practitioner 5799171732 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-3561HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Clinical Education & Research Associates CurrentSince Nov 28, 2022 Accepting new patients
University Clinical Education & Research Associates CurrentSince Nov 28, 2022 Accepting new patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince Mar 8, 2022 Accepting new patients

Locations

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 440-4800

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

2470 S King St
Honolulu, HI 96826
Phone (808) 947-2651

677 Ala Moana Blvd
Ste 1001
Honolulu, HI 96813

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.

NPI Registry JSON

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1114674538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968265808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968265808",
            "telephone_number": "808-947-2651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Ward Ave",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144001",
            "country_code": "US",
            "telephone_number": "808-913-6996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2470 S King St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968265808",
            "country_code": "US",
            "telephone_number": "808-947-2651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "CATHERINE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.