Catharine M. Critz – Pediatric Nurse Practitioner

Key facts

NPI: 1376565218
Entity type: Individual (NPI type 1)
Primary specialty: Pediatric Nurse Practitioner 363LP0200X
License: 263 (HI)
Practice address: 797 Kainui Dr
Kailua, HI 96734-2095
Phone: (808) 265-4561
NPI assigned: Jul 23, 2006
Sex: Female
Sole proprietor: Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Certified Pediatric Nurse Practitioner, Doctor of Philosophy

State licenses

License	State	Type	Specialty
263	HI	MD	General Practice Physician

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatric Nurse Practitioner	363LP0200X	263	HI	Yes

Addresses

Primary practice location

797 Kainui Dr
Kailua, HI 96734-2095

Mailing address

797 Kainui Dr
Kailua, HI 96734-2095
Phone (808) 265-4561

Other identifiers

Identifier	Type	State	Issuer
0000220723	Other	HI	HMSA BILLING NUMBER
54310901	Medicaid	HI

Other names

Catharine C. Church Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 29, 2020.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1376565218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 KAINUI DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342095",
            "telephone_number": "808-265-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 KAINUI DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342095",
            "telephone_number": "808-265-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITZ",
        "first_name": "CATHARINE",
        "middle_name": "M.",
        "credential": "PHD, CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "HI",
            "license": "263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000220723",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54310901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHARINE",
            "last_name": "CHURCH",
            "middle_name": "C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kailua, HI

All providers in Kailua, HI · Pediatric Nurse Practitioner in Hawaii

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.