Individual provider Active NPI

Alexis Marie Fodran

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1245814383
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3502 Issued in HI
Practice address
680 Iwilei Rd Ste 660
Honolulu, HI 96817-5392
Phone
(808) 924-9255
NPI assigned
May 5, 2021
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3502 HI
Family Nurse Practitioner 363LF0000X 3502 HI Primary
Family Nurse Practitioner 363LF0000X 95013279 CA

Addresses

Primary practice location

680 Iwilei Rd Ste 660
Honolulu, HI 96817-5392

Mailing address

680 Iwilei Rd Ste 660
Honolulu, HI 96817-5392
Phone (808) 924-9255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afodran@navianhawaii.org

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
I20220330001285 HI Practitioner - Nurse Practitioner 1254727324 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95013279CAMDFamily Nurse Practitioner
3502HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Hawaii, Inc. CurrentSince Jan 20, 2026 Accepting new patients
Hospice Hawaii, Inc. CurrentSince Jan 20, 2026 Accepting new patients
Milestones CurrentSince Feb 1, 2022 Accepting new patients

Locations

680 Iwilei Rd
Ste 660
Honolulu, HI 96817
Phone (808) 599-4999

820 Mililani St
Ste 400
Honolulu, HI 96813
Phone (808) 550-2552

Interoperability endpoints

  • Direct secure messaging: afodran@navianhawaii.org
  • FHIR API: https://api.platform.athenahealth.com/17047/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1245814383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 IWILEI RD STE 660",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175392",
            "telephone_number": "808-924-9255",
            "fax_number": "828-791-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 IWILEI RD STE 660",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175392",
            "telephone_number": "808-924-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FODRAN",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "3502",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "3502",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afodran@navianhawaii.org",
            "affiliation": "N",
            "address_1": "680 Iwilei Rd Ste 660",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968175392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.