Individual provider Active NPI

Mackenzie Daniels

  • Physician Assistant
  • Honolulu, HI
National Provider Identifier
1427895374
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AMD-139 Issued in HI
Practice address
615 Piikoi St Ste 1501
Honolulu, HI 96814-3142
Phone
(267) 334-0786
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X AMD-139 HI Primary

Addresses

Primary practice location

615 Piikoi St Ste 1501
Honolulu, HI 96814-3142

Mailing address

615 Piikoi St Ste 1501
Honolulu, HI 96814-3142

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241115001943 HI Practitioner - Physician Assistant 7315471182 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AMD-139HIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Braun Urgent Care Kailua LLC Physician Assistant CurrentSince Jul 28, 2026 Accepting new patients
Cheryl Twu DO LLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

615 Piikoi St
Ste 1501
Honolulu, HI 96814
Phone (808) 600-2180

130 Kailua Rd
Ste 111
Kailua, HI 96734
Phone (808) 261-4411

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1427895374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST STE 1501",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST STE 1501",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143142",
            "telephone_number": "267-334-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.