Individual provider Active NPI

Stephanie M Higa, APRN

  • Primary Care Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1316405004
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN-2400 Issued in HI
Practice address
Hi DPS-Hawaii Community Correctional Center
60 Pnahele Street
Hilo, HI 96720
Phone
(808) 933-0488
Fax
(808) 933-3117
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-49722 HI
Primary Care Nurse Practitioner 363LP2300X APRN-2400 HI Primary

Addresses

Primary practice location

Hi DPS-Hawaii Community Correctional Center
60 Pnahele Street
Hilo, HI 96720

Mailing address

200 Kanoelehua Ave.
PMB-289
Hilo, HI 96720
Phone (808) 895-0675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN-49722HIMDRegistered Nurse
APRN-2400HIMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1316405004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KANOELEHUA AVE.",
            "address_2": "PMB-289",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-895-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HI DPS-HAWAII COMMUNITY CORRECTIONAL CENTER",
            "address_2": "60 PNAHELE STREET",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-933-0488",
            "fax_number": "808-933-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGA",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-49722",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "HI",
            "license": "APRN-2400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.