NPIMap

Organization Active NPI

Integrated Medicine Institute, Inc.

  • Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1467086280
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
INTEGRATED MEDICINE INSTITUTE, INC.
Practice address
868 Ululani Street Suite 106
Hilo, HI 96720
Phone
(808) 657-4644
Fax
(808) 443-0911
NPI assigned
Mar 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Joanna Ululani Smith, DNPNPI 1831689959
Title
President and Ceo
Phone
(808) 657-4644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

868 Ululani Street Suite 106
Hilo, HI 96720

Mailing address

17-384 Ipuaiwaha Street
Keaau, HI 96749
Phone (808) 657-4644

National Provider Directory

National Provider Directory

Locations

868 Ululani St
Ste 106
Hilo, HI 96720
Phone (808) 217-0242

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1467086280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-384 IPUAIWAHA STREET",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "96749",
            "telephone_number": "808-657-4644",
            "fax_number": "808-443-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 ULULANI STREET SUITE 106",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-657-4644",
            "fax_number": "808-443-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICINE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "ULULANI",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "808-657-4644",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.