Organization Active NPI

Orchid Isle Wellness Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1396467239
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ORCHID ISLE WELLNESS CENTER LLC
Practice address
305 Wailuku Dr Ste 3
Hilo, HI 96720-2488
Phone
(970) 413-3776
Fax
(833) 536-1752
NPI assigned
Sep 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Ann M Cox, APNNPI 1760595292
Title
Owner
Phone
(970) 413-3776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

305 Wailuku Dr Ste 3
Hilo, HI 96720-2488

Mailing address

73-1281 Awakea St
Kailua Kona, HI 96740-9571
Phone (970) 413-3776

Other practice location 1

73-1281 Awakea St
Kailua Kona, HI 96740-9571
Phone (970) 413-3776

Other practice location 2

300 Main St Ste 201
Grand Junction, CO 81501-2404
Phone (970) 413-3776

National Provider Directory

National Provider Directory
Tax ID family
Orchid Isle Wellness Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1396467239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73-1281 AWAKEA ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967409571",
            "telephone_number": "970-413-3776",
            "fax_number": "833-536-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WAILUKU DR STE 3",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202488",
            "telephone_number": "970-413-3776",
            "fax_number": "833-536-1752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73-1281 Awakea St",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967409571",
            "country_code": "US",
            "telephone_number": "970-413-3776",
            "fax_number": "833-536-1752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815012404",
            "country_code": "US",
            "telephone_number": "970-413-3776",
            "fax_number": "833-536-1752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORCHID ISLE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-413-3776",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.