Mary K Mossman, APRN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

APRN-973 Issued in HI

Practice address

1221 Kapiolani Blvd Ste 345
Honolulu, HI 96814-3510

Phone

(808) 308-5553

Fax

(808) 748-2909

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mary K Trujillo Former name

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mental Health Kokua

  • Case Management Agency
  • Honolulu, HI
  • NPI 1114218625
  Medicare reassignment NPD

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1386860971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73-2360 KALOKO DR",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967409167",
            "telephone_number": "720-273-5915",
            "fax_number": "808-748-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD STE 345",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143510",
            "telephone_number": "808-308-5553",
            "fax_number": "808-748-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSMAN",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN58832",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "HI",
            "license": "APRN-973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "TRUJILLO",
            "middle_name": "K",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald Anthony Morton, M.D.
• Candice Kaiulani Moses
• James Cole Moses, RPT
• Hanna Minh Mospens, FNP-C
• Faith Moss
• Elizaeth Mota, COTA/L
• Mother Hawaii Corporation
• Caroline Camp Motley, LCSW
• Jon Hiroshi Motohiro, M.S.
• Noriko Motomasa, PSYD

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.

Verify at the official NPI Registry.