Active NPI
Hollie Scarbro, APRN, RN
- Family Nurse Practitioner
- Honolulu, HI
National Provider Identifier
1164138400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-3837-0
- Practice address
- 5557 Bennion Dr
Honolulu, HI 96818-3223 - Phone
- (606) 367-1439
- NPI assigned
- Jan 30, 2023
- Last updated
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-3837-0 | HI | Primary |
| Registered Nurse | 163W00000X | HI-97900 | HI | |
| Registered Nurse | 163W00000X | 1141381 | KY |
Addresses
Primary practice location
5557 Bennion Dr
Honolulu, HI 96818-3223
Mailing address
5557 Bennion Dr
Honolulu, HI 96818-3223
Phone (606) 367-1439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 S Beach St
Suite 202
Daytona Beach, FL 32114-4409
Phone (888) 506-8836
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HI-97900 | HI | MD | Registered Nurse |
| 1141381 | KY | MD | Registered Nurse |
| APRN-3837-0 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Visiting Practitioners, LLC | Current | Accepting new patients | |
| Behavioral Health Services of Florida LLC | Current | Accepting new patients |
Locations
140 S Beach St
Ste 202
Daytona Beach, FL 32114
Phone (888) 506-8836
Organizations & group practices 2
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.
-
- Primary Care Nurse Practitioner
- Daytona Beach, FL
- NPI 1265915359
-
- Psychiatric/Mental Health Nurse Practitioner
- Daytona Beach, FL
- NPI 1619649217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1164138400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5557 BENNION DR",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968183223",
"telephone_number": "606-367-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5557 BENNION DR",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968183223",
"telephone_number": "606-367-1439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARBRO",
"first_name": "HOLLIE",
"credential": "APRN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN-3837-0",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "HI-97900",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1141381",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.