Kimi A Prentice, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1147 Issued in HI

Practice address

91-2139 Fort Weaver Rd Ste 108
Ewa Beach, HI 96706-3608

Phone

(808) 676-4224

NPI assigned

Aug 10, 2009

Last updated

Nov 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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 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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Waianae District Comprehensive Health and Hospital Board IncorporatedGroup PAC ID 9931008349, 162 clinicians

James He Ireland MD LLCGroup PAC ID 7719268507, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimi.prentice.p1@direct.wcchc.nextgenshare.com

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.

• James H.E. Ireland MD, LLC

  dba West Oahu Nephrology

  • Nephrology Physician
  • Ewa Beach, HI
  • NPI 1659603884
  Medicare reassignment Care Compare group NPD
• Waianae District Comprehensive Health and Hospital Board, Inc

  dba Waianae Coast Comprehensive Health Center

  • Family Medicine Physician
  • Waianae, HI
  • NPI 1275566424
  Medicare reassignment Care Compare group NPD
• Waianae District Comprehensive Health and Hospital Board, Inc

  dba Nanakuli High & Intermediate School School-Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Waianae, HI
  • NPI 1346742319
  NPD
• Waianae District Comprehensive Health and Hospital Board, Incorporated

  dba Waianae Elementary School

  • Federally Qualified Health Center (FQHC)
  • Waianae, HI
  • NPI 1710709365
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1467684480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2139 FORT WEAVER RD STE 100",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063608",
            "telephone_number": "808-676-4224",
            "fax_number": "808-676-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2139 FORT WEAVER RD STE 108",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063608",
            "telephone_number": "808-676-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86-260 Farrington Hwy",
            "address_purpose": "LOCATION",
            "city": "Waianae",
            "state": "HI",
            "postal_code": "967923128",
            "country_code": "US",
            "telephone_number": "808-697-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "KIMI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda C Porter, MA - ED COUNSELING
• Cody Porter, PHARMD
• Positive Perspective LLC (D/B/a)
• Positive Shift Nutrition LLC
• Leah Prahl, ATR-P
• Jackyline Sanchez Prestosa, MD
• Jean Prieto
• Primary Care Physician Enterprise LLC (Empower Health)
• Amy Jo Prince, BS, GCMHP
• Denise Marie Pronesti, APRN

• Nurse Practitioner in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.