Dermacare Hi LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2012001836 Issued in HI

Legal business name

DERMACARE HI LLC

Practice address

4520 Kukui St Ste 101
Kapaa, HI 96746-1770

Phone

(808) 855-8380

Fax

(855) 635-8353

NPI assigned

May 15, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joann Lepke, APRNNPI 1487969739

Title

Owner

Phone

(808) 855-8380

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joann Lepke, APRN

  • Family Nurse Practitioner
  • Kihei, HI
  • NPI 1487969739
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1265969703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 KUKUI ST STE 101",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461770",
            "telephone_number": "808-855-8380",
            "fax_number": "855-635-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 KUKUI ST STE 101",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461770",
            "telephone_number": "808-855-8380",
            "fax_number": "855-635-8353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3216 Elua St",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967661213",
            "country_code": "US",
            "telephone_number": "808-855-8380",
            "fax_number": "855-635-8353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5-4280 Kuhio Hwy Ste G-210",
            "address_purpose": "LOCATION",
            "city": "Princeville",
            "state": "HI",
            "postal_code": "967225451",
            "country_code": "US",
            "telephone_number": "808-855-8380",
            "fax_number": "855-635-8353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERMACARE HI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LEPKE",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-855-8380",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2012001836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H110085",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Davis
• Deborah C Leible DC PC
• Gregory Imperial Delacruz
• Dawna Comey Delenstarr, N.P.
• Shannon Nicole Denny, MFT-UNLICENSED
• Trudy Kuuipohhelena Desilva
• Heidi Dolezal, M.P.T.
• Marla Kessler Domingo, BED
• Puakea Michelle Domingo
• Anne Dorre, PH.D.

• Family Nurse Practitioner in Kapa'a, HI
• Providers in Kapa'a, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.