Kimi Jo Nelson, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN-71443 Issued in HI

Practice address

480 Central Ave
Pearl Harbor, HI 96860

Phone

(808) 471-1866

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1548720451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-471-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "96860",
            "telephone_number": "808-471-1866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91-1114 Kailipolipo St",
            "address_purpose": "LOCATION",
            "city": "Ewa Beach",
            "state": "HI",
            "postal_code": "967066505",
            "country_code": "US",
            "telephone_number": "808-312-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91-1114 Kailipolipo St",
            "address_purpose": "LOCATION",
            "city": "Ewa Beach",
            "state": "HI",
            "postal_code": "967066505",
            "country_code": "US",
            "telephone_number": "808-312-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KIMI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "HI",
            "license": "RN-71443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naval Health Clinic Hawaii
• Naval Health Clinic Hawaii
• Naval Medical Clinic
• Jamie Neill
• James Andrew Neipp, PHARMD
• Timothy James Neumann, D.D.S.
• Thanh Chau Nguyen
• NHC Hawaii
• NHC Hawaii
• John William Nickens, PA-C

• General Practice Registered Nurse in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• General Practice Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.