Individual provider Active NPI

Catharine M. Critz, PHD, CPNP

  • Pediatric Nurse Practitioner
  • Kailua, HI
National Provider Identifier
1376565218
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
263 Issued in HI
Practice address
797 Kainui Dr
Kailua, HI 96734-2095
Phone
(808) 265-4561
NPI assigned
Jul 23, 2006
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 263 HI Primary

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 names 1

  • Catharine C. Church Former name

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)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
263HIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHARINE",
            "last_name": "CHURCH",
            "middle_name": "C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.