Andie Kida

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-4259-0 Issued in HI

Practice address

970 N Kalaheo Ave Ste C306
Kailua, HI 96734-1873

Phone

(808) 263-7383

NPI assigned

Sep 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Andie Kida Professional name

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Queens Medical CenterGroup PAC ID 3476454067, 191 clinicians

Trade Winds Family Medicine LLCGroup PAC ID 2860539269, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
• Adventist Health Castle Hospital, Kailua, HI, CCN 120006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGDDBA

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.

• Trade Winds Family Medicine, LLC

  • Clinic/Center
  • Kailua, HI
  • NPI 1851529580
  Medicare reassignment Care Compare group NPD
• The Queen'S Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1487693586
  Medicare reassignment Care Compare group
• Queens University Medical Group

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1891441382
  Medicare reassignment NPD
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  NPD
• The Queens Medical Center

  • Urgent Care Clinic/Center
  • Honolulu, HI
  • NPI 1235773219
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Castle Medical Center

  • General Acute Care Hospital
  • Kailua, HI
  • NPI 1316937691
  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1114706207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE C306",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341873",
            "telephone_number": "808-263-7383",
            "fax_number": "808-327-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE C306",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341873",
            "telephone_number": "808-263-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDA",
        "first_name": "ANDIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "HI",
            "license": "86065727",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "99400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4259-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDIE",
            "last_name": "KIDA",
            "credential": "DNP, FNP-BC, RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Thomas C Keller, MD
• Emily Kenney, PTA
• Riana-Reese Keolanui
• Noah Kephart
• Nicole A Kerr, RDN, LDN
• Kidshine Kailua LLC
• Alia Kiehm
• John-Michael Kim Han, RPH
• Aimee Jung Ae Kim, DMD
• Cecelia Kim

• Family Nurse Practitioner in Kailua, HI
• Providers in Kailua, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.