R S Hundertmark, DNP, MSN, PMHNP-C

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Kailua, HI

NPI 1457519985 · NPPES record last updated May 28, 2026

Key facts

NPI
1457519985
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
APRN-5781-0 (HI)
Practice address
PO Box 1224
Kailua, HI 96734-1224
Phone
(808) 994-6444
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN-69749HIMDHospice Registered Nurse
238529HIMDLactation Consultant (Registered Nurse)
APRN-5781-0HIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Self Centered, LLC Hospice Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
High-Risk Obstetric Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163WX0002X RN-69749 HI
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X APRN-5781-0 HI Yes
Hospice Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163WH1000X RN-69749 HI
Lactation Consultant (Registered Nurse)
Group: 193200000X MULTI-SPECIALTY GROUP
163WL0100X 238529 HI

Addresses

Primary practice location

PO Box 1224
Kailua, HI 96734-1224

Mailing address

PO Box 1224
Kailua, HI 96734-1224
Phone (808) 994-6444

Other providers in Kailua, HI

All providers in Kailua, HI · Psychiatric/Mental Health Nurse Practitioner in Hawaii

Sources for this page

Verify at the official NPI Registry.