Individual provider Active NPI

Lexi Keiko Kaneshiro

  • Nurse Practitioner
  • Kaneohe, HI
National Provider Identifier
1437817210
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-3449 Issued in HI
Practice address
45-845 Pookela St
Kaneohe, HI 96744-5700
Phone
(808) 236-2600
Fax
(808) 236-2627
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-3449 HI Primary

Addresses

Primary practice location

45-845 Pookela St
Kaneohe, HI 96744-5700

Mailing address

95-1036 Kahualea St
Mililani, HI 96789-4429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN-3449HIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Alcoholic Rehabilitation Services of Hawaii Inc CurrentSince Dec 5, 2021 Accepting new patients
Heather H. McDermott, Psy.D., LLC PastSince Dec 5, 2021 Accepting new patients

Locations

45-845 Pookela St
Kaneohe, HI 96744
Phone (808) 236-2600

Organizations & group practices 2

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1437817210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1036 KAHUALEA ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967894429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-845 POOKELA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967445700",
            "telephone_number": "808-236-2600",
            "fax_number": "808-236-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANESHIRO",
        "first_name": "LEXI",
        "middle_name": "KEIKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-3449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.