Individual provider Active NPI

Lokenani Kealoha Souza, APRN

  • Nurse Practitioner
  • Kamuela, HI
National Provider Identifier
1477829562
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-1447 Issued in HI
Practice address
65-1235A Opelo Rd Ste 1
Kamuela, HI 96743-8401
Phone
(808) 885-5392
Fax
(808) 885-5392
NPI assigned
Mar 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-60246 HI
Nurse Practitioner 363L00000X APRN-1447 HI Primary

Addresses

Primary practice location

65-1235A Opelo Rd Ste 1
Kamuela, HI 96743-8401

Mailing address

65-1235A Opelo Rd Ste 1
Kamuela, HI 96743-8401
Phone (808) 885-5392

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120809000231 HI Practitioner - Nurse Practitioner 9234385170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilo Urgent Care Center LLCGroup PAC ID 7214825231, 7 clinicians

Practice addresses (Care Compare)

670 Kekuanaoa St
Hilo, HI 96720-4405
Phone (808) 969-3051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-60246HIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kealohanani LLC CurrentSince May 16, 2021 Accepting new patients
Hilo Urgent Care Center, LLC CurrentSince May 1, 2020 Accepting new patients

Locations

670 Kekuanaoa St
Hilo, HI 96720
Phone (808) 961-2609

16-590 Old Volcano Rd
Keaau, HI 96749
Phone (808) 966-7942

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1477829562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1235A OPELO RD STE 1",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438401",
            "telephone_number": "808-885-5392",
            "fax_number": "808-885-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1235A OPELO RD STE 1",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438401",
            "telephone_number": "808-885-5392",
            "fax_number": "808-885-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "LOKENANI",
        "middle_name": "KEALOHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "RN-60246",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-1447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.