Kristine Layugan Shaner, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

18287 Issued in HI

Practice address

1520 Liliha St Ste 404
Honolulu, HI 96817-3563

Phone

(808) 545-3567

Fax

(808) 545-3568

NPI assigned

Jun 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kristine Ulep Layugan Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristine.layugan.p1@direct.wcchc.nextgenshare.com
• Direct secure messaging: kristine.shaner@422205116841988.direct.elationemr.com

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.

• Kids Thrive Pediatrics, LLC

  • Health Service Clinic/Center
  • Honolulu, HI
  • NPI 1972252526
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1275896433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923128",
            "telephone_number": "808-697-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 LILIHA ST STE 404",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173563",
            "telephone_number": "808-545-3567",
            "fax_number": "808-545-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANER",
        "first_name": "KRISTINE",
        "middle_name": "LAYUGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "18287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "LAYUGAN",
            "middle_name": "ULEP",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shalom Hospice of Hawaii LLC
• Korin Sayuri Laialoha Sham, LSW
• Nazo Shamal, PSYD, LCSW
• Shanahan Family & Ind Psych Services Inc
• Roswitha J Shanahan, PSY.D.
• Tianfu Shang
• Surina C Shankar, MSW, LSW
• Sheri Sloggett Shanks, PSY.D.
• Flannery Adair Shannon, DNP, APRN-RX, FNP-BC
• Lindsey M. Shannon, PA-C

• Pediatrics Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pediatrics Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.