Organization Active NPI

Pacific Renal Care Foundation

  • Nephrology Registered Nurse
  • Kahului, HI
National Provider Identifier
1386853851
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology Registered NurseTaxonomy code 163WN0300X
License
APRN-813 Issued in HI
Legal business name
PACIFIC RENAL CARE FOUNDATION
Practice address
203 Hoohana St
Suite 201
Kahului, HI 96732-2476
Phone
(808) 893-2532
Fax
(808) 893-2533
NPI assigned
May 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Laura Colbert
Title
Vice President - Operations
Phone
(808) 585-4620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Registered Nurse 163WN0300X APRN-813 HI Primary

Addresses

Primary practice location

203 Hoohana St
Suite 201
Kahului, HI 96732-2476

Mailing address

203 Hoohana St
Suite 201
Kahului, HI 96732-2476

Other identifiers 1

IdentifierTypeStateIssuer
813OtherHIAPRN LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386853851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HOOHANA ST",
            "address_2": "SUITE 201",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOOHANA ST",
            "address_2": "SUITE 201",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322476",
            "telephone_number": "808-893-2532",
            "fax_number": "808-893-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RENAL CARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "VICE PRESIDENT - OPERATIONS",
        "authorized_official_telephone_number": "808-585-4620"
    },
    "taxonomies": [
        {
            "code": "163WN0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nephrology",
            "state": "HI",
            "license": "APRN-813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "813",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.