Individual provider Active NPI

Laura Aline Blue, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Waianae, HI
National Provider Identifier
1154925535
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3875 Issued in HI
Practice address
86-545 Hakalina Rd
Waianae, HI 96792-2803
Phone
(808) 627-2333
NPI assigned
Nov 25, 2020
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3875 HI Primary
Case Management Registered Nurse 163WC0400X 46278 HI

Addresses

Primary practice location

86-545 Hakalina Rd
Waianae, HI 96792-2803

Mailing address

86-545 Hakalina Rd
Waianae, HI 96792-2803
Phone (808) 627-2333

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
I20230630001060 HI Practitioner - Nurse Practitioner 9739548223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3875HIMDClinical Social Worker
46278HIMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Partners Hawaii PHP and Iop, LLC CurrentSince Jun 30, 2024 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Jun 17, 2024 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc Current Accepting new patients
Wellness Partners Hawaii Inc Psychiatric/Mental Health CurrentSince Jul 1, 2023 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Jun 17, 2024 Accepting new patients

Locations

6700 Kalanianaole Hwy
Ste 201
Honolulu, HI 96825
Phone (808) 264-4915

850 W Hind Dr
Ste 116
Honolulu, HI 96821
Phone (808) 379-6656

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

Networks

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

Interoperability endpoints

  • Direct secure messaging: laura.blue.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 5

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": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1154925535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-545 HAKALINA RD",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922803",
            "telephone_number": "808-627-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-545 HAKALINA RD",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922803",
            "telephone_number": "808-627-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "LAURA",
        "middle_name": "ALINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "3875",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "HI",
            "license": "46278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.