Active NPI
Nicholai M. Khiterer
- Clinical Social Worker
- Honolulu, HI
National Provider Identifier
1376642991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3010
- Practice address
- 1441 Kapiolani BVLD.
1600
Honolulu, HI 96815 - Phone
- (808) 432-7632
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3010 | HI | Primary |
Addresses
Primary practice location
1441 Kapiolani BVLD.
1600
Honolulu, HI 96815
Mailing address
300 Wai Nani Way
#818
Honolulu, HI 96815
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000246454 | Other | HI | HMSA BILLING NUMBER |
| 54981801 | Medicaid | HI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3010 | HI | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337731200000",
"number": "1376642991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 WAI NANI WAY",
"address_2": "#818",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BVLD.",
"address_2": "1600",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96815",
"telephone_number": "808-432-7632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHITERER",
"first_name": "NICHOLAI",
"middle_name": "M.",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2012-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "0000246454",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54981801",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.