Yvette Konigsberg, APRN, PMHNP, FNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Lihue, HI
NPI 1144730847 · NPPES record last updated Feb 18, 2025
Key facts
- NPI
- 1144730847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN-2338 (HI)
- Practice address
- 4485 Pahee St Ste 150
Lihue, HI 96766-2018 - Phone
- (808) 246-0497
- NPI assigned
- Oct 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171221000353 | HI | Practitioner - Nurse Practitioner | 8426316423 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-2338 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Current |
Accepting new patients | |
| Waianae District Comprehensive Health and Hospital Board, Inc | Current | Accepting new patients | |
| Waianae District Comprehensive Health and Hospital Board, Inc | Current |
Accepting new patients |
Locations
86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081
Interoperability endpoints
- yvette.konigsberg.p1@direct.wcchc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-2338 | HI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN-2338 | HI | Yes |
Addresses
Primary practice location
4485 Pahee St Ste 150
Lihue, HI 96766-2018
Mailing address
4485 Pahee St Ste 150
Lihue, HI 96766-2018
Phone (808) 246-0497
Other providers in Lihue, HI
- Kokua Healthcare
- Kokua Healthcare
- Kokua Healthcare
- Kokua Healthcare LLC
- Kokua Healthcare LLC
- Gina A Kozerski
- Allison M Kozlowski
- Kuhio Pediatric Dental LLC
- Arleen Kuwamura
- Vivian Lin Kyono
All providers in Lihue, 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 Feb 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.