Individual provider Active NPI

Lahelaho'Opomaika'I Blake, APRN-RX

  • Family Nurse Practitioner
  • Kaneohe, HI
National Provider Identifier
1447623772
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-2000 Issued in HI
Practice address
46-005 Kawa St Ste 203
Kaneohe, HI 96744-3812
Phone
(808) 247-9616
Fax
(808) 278-5647
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-2000 HI Primary

Addresses

Primary practice location

46-005 Kawa St Ste 203
Kaneohe, HI 96744-3812

Mailing address

46-005 Kawa St Ste 203
Kaneohe, HI 96744-3812
Phone (808) 247-9616

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
I20151223001341 HI Practitioner - Nurse Practitioner 3870894405 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaiian Island ClinicsGroup PAC ID 2769997188, 11 clinicians

Practice addresses (Care Compare)

347 N Kuakini St
Honolulu, HI 96817-2306
Phone (808) 547-9105

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.68 of 100Reported as group
Quality
76.52
Improvement activities
40
Cost
95.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-2000HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imua Health Group, LLC CurrentSince Jul 1, 2026 Accepting new patients
We Prescribe Inc CurrentSince Sep 13, 2023 Accepting new patients
Hawaiian Island Clinics CurrentSince Jun 1, 2025 Accepting new patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince Dec 14, 2015 Accepting new patients
Ka Wai Ola Family Medical Clinic, LLC PastSince Nov 10, 2018 Accepting new patients

Locations

98-1079 Moanalua Rd
Ste 350
Aiea, HI 96701
Phone (808) 487-2277

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500

377 Keahole St
Honolulu, HI 96825
Phone (808) 395-4427

347 N Kuakini St
Honolulu, HI 96817
Phone (808) 536-2236

46-005 Kawa St
Ste 203
Kaneohe, HI 96744
Phone (808) 247-9616

1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1447623772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-005 KAWA ST STE 203",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443812",
            "telephone_number": "808-247-9616",
            "fax_number": "808-278-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-005 KAWA ST STE 203",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443812",
            "telephone_number": "808-247-9616",
            "fax_number": "808-278-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "LAHELAHO'OPOMAIKA'I",
        "credential": "APRN-RX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.