Active NPI
Malama Kino Primary Care Inc.
- Family Nurse Practitioner
- Kapaa, HI
National Provider Identifier
1437744232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MALAMA KINO PRIMARY CARE INC.
- Practice address
- 4-1461 Kuhio Hwy
Kapaa, HI 96746-1715 - Phone
- (808) 320-4333
- NPI assigned
- Mar 3, 2021
- 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
- Alana R Goo-Frazier, APRN
- Title
- Nurse Practitioner
- Phone
- (808) 320-4333
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4-1461 Kuhio Hwy
Kapaa, HI 96746-1715
Mailing address
5141 Kapiolani Loop
Princeville, HI 96722-5208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210415002628 | HI | Part B Supplier - Clinic/Group Practice | 0941618763 |
Receives reassigned benefits from 1 practitioner Practice locations: Kapaa, HI |
National Provider Directory
National Provider DirectoryLocations
4-1461 Kuhio Hwy
Kapaa, HI 96746
Phone (808) 212-5966
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": "1614729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620691200000",
"number": "1437744232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5141 KAPIOLANI LOOP",
"city": "PRINCEVILLE",
"state": "HI",
"postal_code": "967225208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4-1461 KUHIO HWY",
"city": "KAPAA",
"state": "HI",
"postal_code": "967461715",
"telephone_number": "808-320-4333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALAMA KINO PRIMARY CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-03",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A",
"authorized_official_last_name": "GOO-FRAZIER",
"authorized_official_first_name": "ALANA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "808-320-4333",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapaa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.