Active NPI
Robin Pacson, APRN, MSN, GNP
- Gerontology Nurse Practitioner
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN - 1032
- Practice address
- 888 S King St
Honolulu, HI 96813-3097 - Phone
- (808) 522-4000
- NPI assigned
- Sep 9, 2015
- Last updated
- Sep 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN - 46763 | HI | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN - 1032 | HI | Primary |
Addresses
Primary practice location
888 S King St
Honolulu, HI 96813-3097
Mailing address
888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN - 46763 | HI | MD | Registered Nurse |
| APRN - 1032 | HI | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Islands Hospice, Inc. | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| IHS the Institute for Human Services Inc | Current | Accepting new patients | |
| Milestones | Current | Accepting new patients |
Locations
12680 High Bluff Dr
Ste 150
San Diego, CA 92130
1301 Punchbowl St
Apt 406
Honolulu, HI 96813
1946 Young St
Ste 320
Honolulu, HI 96826
546 Kaaahi St
Honolulu, HI 96817
Phone (808) 447-2863
650 Iwilei Rd
Ste 202
Honolulu, HI 96817
820 Mililani St
Ste 400
Honolulu, HI 96813
Phone (808) 550-2552
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
Interoperability endpoints
- https://api.platform.athenahealth.com/17047/brand/1/csg/1/fhir/r4
- robin.pacson@114731698618372.direct.elationemr.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Honolulu, HI
- NPI 1740571249
-
- Community Based Hospice Care Agency
- Honolulu, HI
- NPI 1184932345
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1881108652
-
dba Hawaii Pacific Health Specialty Pharmacy
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
-
dba Straub Benioff Medical Center
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1376911156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 S KING ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968133097",
"telephone_number": "808-522-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 S KING ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968133097",
"telephone_number": "808-522-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACSON",
"first_name": "ROBIN",
"credential": "APRN, MSN, GNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "RN - 46763",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "HI",
"license": "APRN - 1032",
"primary": true
}
],
"identifiers": [],
"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 Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.