Active NPI
Pacific Renal Care Foundation
- Nephrology Registered Nurse
- Kahului, HI
National Provider Identifier
1386853851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Registered Nurse
- License
- APRN-813
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 813 | Other | HI | APRN LICENSE |
National Provider Directory
National Provider DirectoryNPI 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.