Individual provider Active NPI

Shannon Aurora Ku'Uipo Lim, APRN, FNP-BC

  • Nurse Practitioner
  • Aiea, HI
National Provider Identifier
1144950452
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-3467 Issued in HI
Practice address
98-1005 Moanalua Rd SPC 4030
Aiea, HI 96701-4734
Phone
(808) 485-3037
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-3467 HI Primary

Addresses

Primary practice location

98-1005 Moanalua Rd SPC 4030
Aiea, HI 96701-4734

Mailing address

98-1005 Moanalua Rd SPC 4030
Aiea, HI 96701-4734
Phone (808) 485-3037

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
I20240522001649 HI Practitioner - Nurse Practitioner 7012359011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pali Momi Medical CenterGroup PAC ID 6406746916, 90 clinicians

Practice addresses (Care Compare)

98 -1005 Moanalua Rd
Aiea, HI 96701-4777
Phone (808) 485-4500

98 -1079 Moanalua Rd
Suite 680
Aiea, HI 96701-4725
Phone (808) 485-4250

Hospital & facility affiliations

  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pali Momi Medical Center CurrentSince Jun 22, 2025 Accepting new patients
Straub Clinic & Hospital CurrentSince Apr 12, 2024 Accepting new patients
Pali Momi Medical Center CurrentSince Jun 22, 2025 Accepting new patients
Straub Clinic & Hospital CurrentSince Apr 12, 2024 Accepting new patients

Locations

98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250

98-1005 Moanalua Rd
Spc 4030
Aiea, HI 96701
Phone (808) 485-3037

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1144950452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 4030",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014734",
            "telephone_number": "808-485-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 4030",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014734",
            "telephone_number": "808-485-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "SHANNON",
        "middle_name": "AURORA KU'UIPO",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-3467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.