Organization Active NPI

Olakino Health & Wellness LLC

Doing business as Olakino Health & Wellness

  • Nurse Practitioner
  • Kailua Kona, HI
National Provider Identifier
1316722622
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
OLAKINO HEALTH & WELLNESS LLC
Doing business as
Olakino Health & Wellness
Practice address
75-5699 Kopiko St
Kailua Kona, HI 96740-3651
Phone
(808) 215-6574
Fax
(808) 758-0043
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Anne Chiyeko Broderson
Title
Managing Owner
Phone
(808) 215-6574

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

75-5699 Kopiko St
Kailua Kona, HI 96740-3651

Mailing address

PO Box 286
Holualoa, HI 96725-0286
Phone (808) 215-6574

Other names 1

  • Olakino Health & Wellness Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2293365Olakino Health & Wellness LLC75-5699 Kopiko St, Kailua Kona, HI 96740Certificate of waiverNov 6, 2027

National Provider Directory

National Provider Directory

Locations

75-5699 Kopiko St
Unit 5
Kailua Kona, HI 96740
Phone (808) 215-6574

75-5699 Kopiko St
Ste 5
Kailua Kona, HI 96740
Phone (808) 215-6574

75-5699 Kopiko St
Ste A5
Kailua Kona, HI 96740

75-5699 Kopiko St
Kailua Kona, HI 96740
Phone (808) 329-7744

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1316722622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286",
            "city": "HOLUALOA",
            "state": "HI",
            "postal_code": "967250286",
            "telephone_number": "808-215-6574",
            "fax_number": "808-758-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5699 KOPIKO ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403651",
            "telephone_number": "808-215-6574",
            "fax_number": "808-758-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLAKINO HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "BRODERSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "CHIYEKO",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "808-215-6574"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olakino Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.