Individual provider Active NPI

Sa Rah, FNP

  • Nurse Practitioner
  • Kilauea, HI
National Provider Identifier
1457134090
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95001864 Issued in CA
Practice address
2460 Oka St Ste 201
Kilauea, HI 96754-5308
Phone
(808) 855-0908
Fax
(808) 356-0886
NPI assigned
Aug 16, 2023
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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 95001864 CA Primary

Addresses

Primary practice location

2460 Oka St Ste 201
Kilauea, HI 96754-5308

Mailing address

2460 Oka St Ste 201
Kilauea, HI 96754-5308
Phone (808) 855-0908

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
I20260513002824 HI Practitioner - Nurse Practitioner 7517436165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2460 Oka St
Suite 201
Kilauea, HI 96754-5332

99 Rochester Ave
East Atlantic Beach, NY 11561-1032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integration Health LLC CurrentSince Mar 9, 2026 Accepting new patients

Locations

2460 Oka St
Ste 201
Kilauea, HI 96754
Phone (808) 828-1128

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1457134090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 OKA ST STE 201",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545308",
            "telephone_number": "808-855-0908",
            "fax_number": "808-356-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 OKA ST STE 201",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545308",
            "telephone_number": "808-855-0908",
            "fax_number": "808-356-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAH",
        "first_name": "SA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95001864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilauea, HI

Sources for this page

Verify at the official NPI Registry.