Individual provider Active NPI

Katrina Marie Dembeck, APRN

  • Family Nurse Practitioner
  • Lihue, HI
National Provider Identifier
1295091445
Registry record updated Sep 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN1603 Issued in HI
Practice address
3-3420 Kuhio Hwy
Lihue, HI 96766-1042
Phone
(808) 245-1500
NPI assigned
Apr 2, 2012
Last updated
Sep 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN1603 HI Primary

Addresses

Primary practice location

3-3420 Kuhio Hwy
Lihue, HI 96766-1042

Mailing address

3-3420 Kuhio Hwy
Lihue, HI 96766-1042
Phone (808) 245-1500

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
I20150817002813 HI Practitioner - Nurse Practitioner 4284949462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kauai Medical ClinicGroup PAC ID 5092628479, 147 clinicians

Practice addresses (Care Compare)

3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098
Phone (808) 245-1500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN1603HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Medical Clinic CurrentSince Oct 13, 2016 Accepting new patients
Spectrumcare Rehabilitation Medical Center CurrentSince May 31, 2015 Accepting new patients
Kauai Medical Clinic CurrentSince Oct 13, 2016 Accepting new patients
Spectrumcare Rehabilitation Medical CurrentSince May 31, 2015 Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients

Locations

3434 Villa Ln
Ste 150
Napa, CA 94558
Phone (707) 252-9660

3176 Poipu Rd
Koloa, HI 96756
Phone (808) 378-4439

3-3420 Kuhio Hwy
Lihue, HI 96766
Phone (808) 245-1074

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

Organizations & group practices 5

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 2

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473033600000",
    "number": "1295091445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-3420 KUHIO HWY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661042",
            "telephone_number": "808-245-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-3420 KUHIO HWY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661042",
            "telephone_number": "808-245-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBECK",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2016-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN1603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.