Laura Aline Blue, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Waianae, HI
NPI 1154925535 · NPPES record last updated Nov 21, 2022
Key facts
- NPI
- 1154925535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 3875 (HI)
- Practice address
- 86-545 Hakalina Rd
Waianae, HI 96792-2803 - Phone
- (808) 627-2333
- NPI assigned
- Nov 25, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Waianae District Comprehensive Health and Hospital Board Incorporated
Practice addresses (Care Compare)
86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300
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 |
|---|---|---|---|---|
| I20230630001060 | HI | Practitioner - Nurse Practitioner | 9739548223 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3875 | HI | MD | Clinical Social Worker |
| 46278 | HI | MD | Case Management Registered Nurse |
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Partners Hawaii PHP and Iop, LLC | Current |
Accepting new patients | |
| Waianae District Comprehensive Health and Hospital Board, Inc | Current | Accepting new patients | |
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Current |
Accepting new patients | |
| Wellness Partners Hawaii Inc | Psychiatric/Mental Health | Current |
Accepting new patients |
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Current |
Accepting new patients |
Locations
850 W Hind Dr
Ste 116
Honolulu, HI 96821
Phone (808) 379-6656
6700 Kalanianaole Hwy
Ste 201
Honolulu, HI 96825
Phone (808) 264-4915
86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081
Networks
- HI PPO
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
Interoperability endpoints
- laura.blue.p1@direct.wcchc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 46278 | HI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3875 | HI | Yes |
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
Other providers in Waianae, HI
- Sheila Beckham
- Lielymar Renon Bell
- Stephanie M Bell
- Mathew Bellhouse-King
- Black Coral Transport Services LLC
- Stephanie Boal
- Lara Estella Boehlig
- Heather Kate Bogy
- Robert Thomas Bonham
- Heather Bouma
All providers in Waianae, 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, 2022. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.