Dominique King
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Honolulu, HI
NPI 1134080757 · NPPES record last updated Nov 21, 2025
Key facts
- NPI
- 1134080757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN-5585-0 (HI)
- Practice address
- 4300 Waialae Ave Apt B1104
Honolulu, HI 96816-5758 - Phone
- (808) 561-4302
- NPI assigned
- Nov 21, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-5585-0 | HI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiger Lily Psychiatry and Wellness, LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN-5585-0 | HI | Yes |
Addresses
Primary practice location
4300 Waialae Ave Apt B1104
Honolulu, HI 96816-5758
Mailing address
4300 Waialae Ave Apt B1104
Honolulu, HI 96816-5758
Phone (808) 561-4302
Other providers in Honolulu, HI
- Jacqueline O King-Jodoi
- Angela Sauleen Yip King
- Betty King
- Briana Kamele King
- Christine M King
- Donna King
- Immanuel King
- Jennifer R King
- Kimberly L King
- Lily M King
All providers in Honolulu, HI · Psychiatric/Mental Health Nurse Practitioner in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.