Individual provider Active NPI

Bobbie Lehuanani Elisala, APRN-RX

  • Family Nurse Practitioner
  • Waipahu, HI
National Provider Identifier
1184729741
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-411 Issued in HI
Practice address
94-216 Farrington Hwy
Waipahu, HI 96797-1922
Phone
(800) 600-5197
Fax
(808) 600-5194
NPI assigned
Sep 14, 2006
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-411 HI Primary

Addresses

Primary practice location

94-216 Farrington Hwy
Waipahu, HI 96797-1922

Mailing address

94-216 Farrington Hwy
Waipahu, HI 96797-1922
Phone (800) 600-5197

Other names 1

  • Bobbie Lehuanani Kelii Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-411HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allure Derm and Wellness Center LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bobbie.elisala.p1@direct.wcchc.nextgenshare.com
  • Direct secure messaging: bobbie.elisala@299087041789956.direct.elationemr.com

Organizations & group practices 1

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1184729741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "800-600-5197",
            "fax_number": "808-600-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "800-600-5197",
            "fax_number": "808-600-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELISALA",
        "first_name": "BOBBIE",
        "middle_name": "LEHUANANI",
        "name_prefix": "Ms.",
        "credential": "APRN-RX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBIE",
            "last_name": "KELII",
            "middle_name": "LEHUANANI",
            "credential": "APRN-RX",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.