Individual provider Active NPI

Courtnee Nunokawa, APRN-RX, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1508268913
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1794 Issued in HI
Practice address
7192 Kalanianaole Hwy BLDG E206A
Honolulu, HI 96825-1800
Phone
(808) 800-8148
Fax
(571) 376-6392
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1794 HI
Primary Care Nurse Practitioner 363LP2300X 1794 HI Primary

Addresses

Primary practice location

7192 Kalanianaole Hwy BLDG E206A
Honolulu, HI 96825-1800

Mailing address

7192 Kalanianaole Hwy BLDG E206A
Honolulu, HI 96825-1800
Phone (808) 800-8148

Other practice location 1

459 Patterson Rd
Honolulu, HI 96819-1522
Phone (808) 433-0600

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
I20221214001008 HI Practitioner - Nurse Practitioner 5698050128 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1794HIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Balanced Brain LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

7192 Kalanianaole Hwy
Bldg E206A
Honolulu, HI 96825
Phone (808) 800-8148

Organizations & group practices 1

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": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1508268913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7192 KALANIANAOLE HWY BLDG E206A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251800",
            "telephone_number": "808-800-8148",
            "fax_number": "571-376-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7192 KALANIANAOLE HWY BLDG E206A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251800",
            "telephone_number": "808-800-8148",
            "fax_number": "571-376-6392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 Patterson Rd",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968191522",
            "country_code": "US",
            "telephone_number": "808-433-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNOKAWA",
        "first_name": "COURTNEE",
        "name_prefix": "Dr.",
        "credential": "APRN-RX, AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "HI",
            "license": "1794",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "HI",
            "license": "1794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.