Individual provider Active NPI

Terri Lyn Pacheco, FNP-C

  • Family Nurse Practitioner
  • Ewa Beach, HI
National Provider Identifier
1306185954
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1534 Issued in HI
Practice address
91-2135 Ft. Weaver Road
Suite 150
Ewa Beach, HI 96706-1929
Phone
(808) 676-5331
Fax
(808) 671-2931
NPI assigned
Feb 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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 1534 HI Primary

Addresses

Primary practice location

91-2135 Ft. Weaver Road
Suite 150
Ewa Beach, HI 96706-1929

Mailing address

91-2135 Fort Weaver Rd
Suite 170
Ewa Beach, HI 96706-1940
Phone (808) 676-5331

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
I20130415000472 HI Practitioner - Nurse Practitioner 9436395506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Workstar Occupational Health Systems IncGroup PAC ID 8729978176, 15 clinicians

Practice addresses (Care Compare)

599 Farrington Hwy
BLDG 2
Kapolei, HI 96707-2028
Phone (808) 676-5331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1534HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Workstar Occupational Health Systems Inc CurrentSince Feb 13, 2013 Accepting new patients

Locations

91-2135 Fort Weaver Rd
Ste 170
Ewa Beach, HI 96706
Phone (808) 676-5331

91-2135 Fort Weaver Rd
Ste 150
Ewa Beach, HI 96706
Phone (808) 676-5331

500 Ala Moana Blvd
Ste 6D
Honolulu, HI 96813
Phone (808) 777-4000

33 Lono Ave
Ste 240
Kahului, HI 96732
Phone (808) 873-2020

75-184 Hualalai Rd
Ste 302
Kailua Kona, HI 96740
Phone (808) 329-0111

599 Farrington Hwy
Ste 2
Kapolei, HI 96707
Phone (808) 676-5331

4366 Kukui Grove St
Ste 207
Lihue, HI 96766
Phone (808) 246-9577

100 Kahelu Ave
Ste 105
Mililani, HI 96789
Phone (808) 329-0111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1306185954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER RD",
            "address_2": "SUITE 170",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061940",
            "telephone_number": "808-676-5331",
            "fax_number": "808-671-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2135 FT. WEAVER ROAD",
            "address_2": "SUITE 150",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061929",
            "telephone_number": "808-676-5331",
            "fax_number": "808-671-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "TERRI",
        "middle_name": "LYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "1534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

Verify at the official NPI Registry.