Active NPI
Christie-Brianna K Momohara-Kanetani, C.G.C., M.S.
- Genetic Counselor (M.S.)
- Honolulu, HI
National Provider Identifier
1487039442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- GP60583599
- Practice address
- 2828 Paa St
Honolulu, HI 96819-4430 - Phone
- (808) 432-5777
- NPI assigned
- Jul 20, 2015
- Last updated
- May 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | GP60583599 | WA | Primary |
Addresses
Primary practice location
2828 Paa St
Honolulu, HI 96819-4430
Mailing address
2828 Paa St
Honolulu, HI 96819-4430
Phone (808) 432-5777
Other names 1
- Miss Christie Momohara
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GP60583599 | WA | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1487039442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 PAA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968194430",
"telephone_number": "808-432-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 PAA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968194430",
"telephone_number": "808-432-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMOHARA-KANETANI",
"first_name": "CHRISTIE-BRIANNA",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "C.G.C., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "WA",
"license": "GP60583599",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2828 Paa St",
"city": "Honolulu",
"state": "HI",
"country_code": "US",
"postal_code": "968194430",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHRISTIE",
"last_name": "MOMOHARA",
"prefix": "MISS",
"credential": "M.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.