Active NPI
Adelante Health Maui
- Family Medicine Physician
- Kihei, HI
National Provider Identifier
1255089157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADELANTE HEALTH MAUI
- Practice address
- 161 Wailea Ike PL
Kihei, HI 96753-6521 - Phone
- (209) 648-4043
- NPI assigned
- Mar 10, 2022
- Last updated
- Mar 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Kearns, MD
- Title
- Owner
- Phone
- (209) 648-4043
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
161 Wailea Ike PL
Kihei, HI 96753-6521
Mailing address
290 Kai Malu Dr
Wailea, HI 96753-6516
Phone (209) 648-4043
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646870400000",
"number": "1255089157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 KAI MALU DR",
"city": "WAILEA",
"state": "HI",
"postal_code": "967536516",
"telephone_number": "209-648-4043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 WAILEA IKE PL",
"city": "KIHEI",
"state": "HI",
"postal_code": "967536521",
"telephone_number": "209-648-4043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADELANTE HEALTH MAUI",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-10",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A",
"authorized_official_last_name": "KEARNS",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-648-4043",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kihei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.