Homayra Fahmida, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11031746 Issued in FL

Practice address

3958 Kiani St
Koloa, HI 96756-9643

Phone

(386) 450-0597

NPI assigned

Mar 15, 2024

Last updated

Oct 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, HI2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hoola Lahui HawaiiGroup PAC ID 2860303021, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCJIBA

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.

• Hoola Lahui Hawaii

  • Federally Qualified Health Center (FQHC)
  • Waimea, HI
  • NPI 1245269976
  Medicare reassignment Care Compare group NPD
• Gastro MD Florida, LLC

  • Gastroenterology Physician
  • Orange City, FL
  • NPI 1821167230
  Medicare reassignment NPD
• Hoola Lahui Hawaii

  • Federally Qualified Health Center (FQHC)
  • Kapa'a, HI
  • NPI 1891098513
  NPD

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1467211102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3958 KIANI ST",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967569643",
            "telephone_number": "386-450-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3958 KIANI ST",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967569643",
            "telephone_number": "386-450-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHMIDA",
        "first_name": "HOMAYRA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel S Choi MD Professional Corporation
• Frank Joseph Davis, D.C.
• Edward Franklin De Deo, D.C.
• Kerry L Dillberg, DC, L.AC.
• Ameen Fayek Elwir
• Diane Faye, M. EDUCATION
• Midori Ann Galante
• Garden Island Pharmacy Serv, Inc (Southshore Pharmacy)
• Hale Kupuna Heritage Home, LLC
• Healing in Waves Therapy and Wellness LLC

• Family Nurse Practitioner in Koloa, HI
• Providers in Koloa, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.