Individual provider Active NPI

Kimberly Victoria Danks, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Kailua, HI
National Provider Identifier
1245841931
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-2926 Issued in HI
Practice address
30 Aulike St Ste 500
Kailua, HI 96734-2752
Phone
(808) 263-8822
Fax
(808) 261-6749
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN-2926 HI Primary

Addresses

Primary practice location

30 Aulike St Ste 500
Kailua, HI 96734-2752

Mailing address

111 Hekili St Ste A291
Kailua, HI 96734-2800
Phone (808) 295-7824

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
I20210224000716 HI Practitioner - Nurse Practitioner 3971918988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Castle Physician NetworkGroup PAC ID 6709177686, 15 clinicians

Practice addresses (Care Compare)

1245 Kuala St
Suite 103
Pearl City, HI 96782-3900
Phone (808) 456-2273

660 Kailua Rd
Kailua, HI 96734-2809
Phone (808) 263-2273

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Medical Center Single Specialty CurrentSince Nov 16, 2020 Accepting new patients
Castle Physician Network Single Specialty Current Accepting new patients
Reis Pediatrics LLC Single Specialty CurrentSince Oct 18, 2021 Accepting new patients
Castle Medical Center CurrentSince Nov 16, 2020 Accepting new patients
Aulike Health Partners, LLC CurrentSince Nov 29, 2020 Accepting new patients
Castle Physician Network CurrentSince Aug 1, 2022 Accepting new patients

Locations

30 Aulike St
Kailua, HI 96734
Phone (808) 266-3222

30 Aulike St
Ste 500
Kailua, HI 96734
Phone (808) 263-8822

660 Kailua Rd
Kailua, HI 96734
Phone (808) 263-2273

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

46-001 Kamehameha Hwy
Ste 401
Kaneohe, HI 96744
Phone (808) 247-6070

Interoperability endpoints

  • Direct secure messaging: kimberly.danks@30137067438084.direct.elationemr.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1245841931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HEKILI ST STE A291",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342800",
            "telephone_number": "808-295-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST STE 500",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342752",
            "telephone_number": "808-263-8822",
            "fax_number": "808-261-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANKS",
        "first_name": "KIMBERLY",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.