Individual provider Active NPI

Kathryn M Farley, FNP, CNS

  • Nurse Practitioner
  • Kaneohe, HI
National Provider Identifier
1215079728
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-200 Issued in HI
Practice address
45-602 Kamehameha Hwy
Kaneohe, HI 96744-2017
Phone
(808) 432-3800
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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-200 HI Primary

Addresses

Primary practice location

45-602 Kamehameha Hwy
Kaneohe, HI 96744-2017

Mailing address

45-602 Kamehameha Hwy
Kaneohe, HI 96744-2017
Phone (808) 432-3800

Other identifiers 2

IdentifierTypeStateIssuer
0000225318OtherHIHMSA BILLING NUMBER
55034401MedicaidHI

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
I20230921001703 HI Practitioner - Nurse Practitioner 4789868910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bristol Palliative Care Services LLCGroup PAC ID 6507190626, 2 clinicians

Practice addresses (Care Compare)

55 Merchant St
Suite 2900
Honolulu, HI 96813-4384
Phone (808) 650-2077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-200HIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Palliative Care Services, LLC CurrentSince Jul 18, 2023 Accepting new patients

Locations

55 Merchant St
Ste 2900
Honolulu, HI 96813
Phone (808) 536-8012

2002 Timberloch Pl
Ste 150A
The Woodlands, TX 77380
Phone (281) 419-4476

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBBADD/Endpoint/HBBADD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1215079728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-602 KAMEHAMEHA HWY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442017",
            "telephone_number": "808-432-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-602 KAMEHAMEHA HWY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442017",
            "telephone_number": "808-432-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "FNP, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000225318",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55034401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.