Advanced Healing Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-754 Issued in HI

Legal business name

ADVANCED HEALING INC

Practice address

91-1099 Waiemi St
Ewa Beach, HI 96706-6413

Phone

(302) 363-5839

Fax

(302) 424-7755

NPI assigned

Feb 26, 2016

Last updated

Feb 10, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

PRE-HOSPITAL INTERVENTIONS INCAs reported in NPPES

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

Authorized official

Name

William Matthews

Title

Director of Operations

Phone

(302) 363-5839

Specialties & licenses 2

Addresses

Part of

Pre-Hospital Interventions Inc

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1548620958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1099 WAIEMI ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066413",
            "telephone_number": "302-363-5839",
            "fax_number": "302-424-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1099 WAIEMI ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066413",
            "telephone_number": "302-363-5839",
            "fax_number": "302-424-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRE-HOSPITAL INTERVENTIONS INC",
        "enumeration_date": "2016-02-26",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "302-363-5839"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-754",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.