Individual provider Active NPI

R S Hundertmark, DNP, MSN, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Kailua, HI
National Provider Identifier
1457519985
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-5781-0 Issued in HI
Practice address
PO Box 1224
Kailua, HI 96734-1224
Phone
(808) 994-6444
NPI assigned
May 30, 2008
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
High-Risk Obstetric Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WX0002X RN-69749 HI
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X APRN-5781-0 HI Primary
Hospice Registered NurseGroup: 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

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
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

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1457519985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1224",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341224",
            "telephone_number": "808-994-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1224",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341224",
            "telephone_number": "808-994-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDERTMARK",
        "first_name": "R",
        "middle_name": "S",
        "name_prefix": "Miss",
        "credential": "DNP, MSN, PMHNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "HI",
            "license": "RN-69749",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-5781-0",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": "HI",
            "license": "RN-69749",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "HI",
            "license": "238529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.