Active NPI
Clare Brady, ARNP
- Adult Health Nurse Practitioner
- Honolulu, HI
National Provider Identifier
1508913724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 785
- Practice address
- 550 S Beretania St
Honolulu, HI 96813-2496 - Phone
- (808) 537-1118
- Fax
- (808) 537-1409
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 785 | HI | Primary |
Addresses
Primary practice location
550 S Beretania St
Honolulu, HI 96813-2496
Mailing address
3137 Hinano St
Honolulu, HI 96815-4330
Phone (808) 383-2868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HI TAX ID | Other | HI | W00391290-01 |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508913724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3137 HINANO ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968154330",
"telephone_number": "808-383-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S BERETANIA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132496",
"telephone_number": "808-537-1118",
"fax_number": "808-537-1409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "CLARE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "HI",
"license": "785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "W00391290-01",
"identifier": "HI TAX ID",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.