Individual provider Active NPI

Leonie Kubo, FNP-BC

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1568954899
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2448 Issued in HI
Practice address
801 South St Apt 514
Honolulu, HI 96813-5917
Phone
(808) 741-7612
NPI assigned
Jun 1, 2018
Last updated
Jun 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2448 HI Primary

Addresses

Primary practice location

801 South St Apt 514
Honolulu, HI 96813-5917

Mailing address

801 South St Apt 514
Honolulu, HI 96813-5917
Phone (808) 741-7612

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
I20181030001283 HI Practitioner - Nurse Practitioner 7810240348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Castle Medical CenterGroup PAC ID 6608762778, 77 clinicians

Practice addresses (Care Compare)

46-001 Kamehameha Hwy
Suite 401
Kaneohe, HI 96744-3788
Phone (808) 263-5019

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2448HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Waikiki Health CurrentSince Aug 26, 2019 Accepting new patients
Castle Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Waikiki Health Current Accepting new patients

Locations

277 Ohua Ave
Honolulu, HI 96815
Phone (808) 922-4787

845 22nd Ave
#5
Honolulu, HI 96816
Phone (808) 734-2034

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

46-001 Kamehameha Hwy
Ste 401
Kaneohe, HI 96744
Phone (808) 247-6070

Interoperability endpoints

  • Direct secure messaging: leonie.kubo.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1568954899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SOUTH ST APT 514",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135917",
            "telephone_number": "808-741-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SOUTH ST APT 514",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135917",
            "telephone_number": "808-741-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBO",
        "first_name": "LEONIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.