Organization Active NPI

Hua Moon Women'S Health LLC

  • Ambulatory Women's Health Care Registered Nurse
  • Kapaa, HI
National Provider Identifier
1376967802
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
176B00000X Issued in HI
Legal business name
HUA MOON WOMEN'S HEALTH LLC
Practice address
4-1558 Kuhio Hwy
Kapaa, HI 96746-1856
Phone
(808) 639-9722
Fax
(866) 423-3332
NPI assigned
Feb 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Mrs. Nicolette Germaine Aguinaldo
Title
Office Manager
Phone
(808) 651-6341

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 176B00000X HI
Ambulatory Women's Health Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0101X 176B00000X HI Primary

Addresses

Primary practice location

4-1558 Kuhio Hwy
Kapaa, HI 96746-1856

Mailing address

4-1558 Kuhio Hwy
Kapaa, HI 96746-1856
Phone (808) 639-9722

Other identifiers 3

IdentifierTypeStateIssuer
64868601MedicaidHI
00C0051296OtherHIHMSA
N772727OtherHIOHANA CARE MEDICAID

Other names 1

  • Home Birth Kauai LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1376967802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-1558 KUHIO HWY",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461856",
            "telephone_number": "808-639-9722",
            "fax_number": "866-423-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-1558 KUHIO HWY",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461856",
            "telephone_number": "808-639-9722",
            "fax_number": "866-423-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUA MOON WOMEN'S HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "AGUINALDO",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_middle_name": "GERMAINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-651-6341",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "176B00000X",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "HI",
            "license": "176B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64868601",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00C0051296",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHANA CARE MEDICAID",
            "identifier": "N772727",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Birth Kauai LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kapaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.