Individual provider Active NPI

Jennifer Anne Ivanovna Lahov, ARNP, FNP-C, CPH

  • Family Nurse Practitioner
  • Ewa Beach, HI
National Provider Identifier
1255113601
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-4729 Issued in HI
Practice address
91-6390 Kapolei Pkwy
Ewa Beach, HI 96706-6380
Phone
(808) 691-7482
NPI assigned
Oct 19, 2023
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61207026 WA
Family Nurse Practitioner 363LF0000X APRN-4729 HI Primary
General Practice Registered Nurse 163WG0000X RN-120641 HI
Medical-Surgical Registered Nurse 163WM0705X RN61207021 WA

Addresses

Primary practice location

91-6390 Kapolei Pkwy
Ewa Beach, HI 96706-6380

Mailing address

456 Kihapai St
Kailua, HI 96734-2444
Phone (908) 752-7443

Other practice location 1

449 Kapahulu Ave Ste 104
Honolulu, HI 96815-3850
Phone (808) 691-7482

Other practice location 2

98-199 Kamehameha Hwy Bldg F
Aiea, HI 96701-4821
Phone (808) 691-7482

Other practice location 3

400 Keawe St Ste 100
Honolulu, HI 96813-5199
Phone (808) 691-7482

Other practice location 4

1215 Hunakai St
Honolulu, HI 96816-4661
Phone (808) 691-8200

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
I20251015002266 HI Practitioner - Nurse Practitioner 5496242208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

1215 Hunakai St
Honolulu, HI 96816-4661
Phone (808) 691-8200

1380 Lusitana St
Honolulu, HI 96813-2448

400 Keawe St
Honolulu, HI 96813-5199
Phone (808) 735-0007

449 Kapahulu Ave
Suite 104
Honolulu, HI 96815-3850
Phone (808) 735-0007

91 -6390 Kapolei Pkwy
Ewa Beach, HI 96706-6380
Phone (808) 735-0007

98-199 Kamehameha Hwy
BLDG F
Aiea, HI 96701-4821
Phone (808) 735-0007

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-120641HIMDGeneral Practice Registered Nurse
RN61207021WAMDMedical-Surgical Registered Nurse
AP61207026WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Queens University Medical Group CurrentSince Sep 1, 2025 Accepting new patients

Locations

98-199 Kamehameha Hwy
Bldg F
Aiea, HI 96701
Phone (808) 691-7482

91-6390 Kapolei Pkwy
Ewa Beach, HI 96706
Phone (808) 691-7482

1215 Hunakai St
Honolulu, HI 96816
Phone (808) 686-4200

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

449 Kapahulu Ave
Ste 104
Honolulu, HI 96815
Phone (800) 735-0007

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1255113601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 KIHAPAI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342444",
            "telephone_number": "908-752-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-6390 KAPOLEI PKWY",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066380",
            "telephone_number": "808-691-7482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "449 Kapahulu Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968153850",
            "country_code": "US",
            "telephone_number": "808-691-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98-199 Kamehameha Hwy Bldg F",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967014821",
            "country_code": "US",
            "telephone_number": "808-691-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Keawe St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968135199",
            "country_code": "US",
            "telephone_number": "808-691-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Hunakai St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968164661",
            "country_code": "US",
            "telephone_number": "808-691-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAHOV",
        "first_name": "JENNIFER",
        "middle_name": "ANNE IVANOVNA",
        "credential": "ARNP, FNP-C, CPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61207026",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4729",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "HI",
            "license": "RN-120641",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "WA",
            "license": "RN61207021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

Verify at the official NPI Registry.