Medical Housecalls Hawaii

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1517 Issued in HI

Legal business name

MEDICAL HOUSECALLS HAWAII

Practice address

834 Kilauea Ave
Hilo, HI 96720-4215

Phone

(808) 961-5696

Fax

(808) 961-6461

NPI assigned

Mar 1, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ellen Harris, DNP

Title

Ceo

Phone

(808) 724-0177

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1538609201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10305",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967215305",
            "telephone_number": "808-961-5696",
            "fax_number": "808-961-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 KILAUEA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204215",
            "telephone_number": "808-961-5696",
            "fax_number": "808-961-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HOUSECALLS HAWAII",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-724-0177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "1517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Clyde McQueen III
• McReynolds Medical Enterprises LLC
• Dale James McSherry, D.C.
• Donnalyn L Medeiros
• Kaydee Medeiros, PA-C, MCHS
• Medipharm Pharmacy LLC
• Chloe Medrano
• Petra Meedt, LPA (TEXAS)
• Jackie L. Meister, CNM
• Kenton J Mejia

• Nurse Practitioner in Hilo, HI
• Providers in Hilo, HI by specialty
• Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.