Active NPI
Shardell Wilson
- Licensed Practical Nurse
- Honolulu, HI
National Provider Identifier
1215864970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN-21463
- Practice address
- 1132 Bishop St Unit 1918
Honolulu, HI 96813-6702 - Phone
- (470) 645-4663
- NPI assigned
- May 6, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN-21463 | HI | Primary |
Addresses
Primary practice location
1132 Bishop St Unit 1918
Honolulu, HI 96813-6702
Mailing address
6841 Leyte St
Wahiawa, HI 96786-3051
Phone (470) 645-4663
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN-21463 | HI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1215864970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6841 LEYTE ST",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967863051",
"telephone_number": "470-645-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 BISHOP ST UNIT 1918",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968136702",
"telephone_number": "470-645-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SHARDELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-06",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "HI",
"license": "LPN-21463",
"primary": true
}
],
"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 May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.