Active NPI
Hawaii Holistic Care
- Acupuncturist
- Kailua Kona, HI
National Provider Identifier
1578189247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- HAWAII HOLISTIC CARE
- Doing business as
- Hawaii Holistic Care
- Practice address
- 75-127 Lunapule Rd Ste 1a
Kailua Kona, HI 96740-2112 - Phone
- (808) 769-2263
- Fax
- (808) 431-3092
- NPI assigned
- Jun 18, 2020
- Last updated
- Sep 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elena Yurievna Kozmidi, LAC., LMT
- Title
- Owner
- Phone
- (808) 769-2263
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary | ||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
75-127 Lunapule Rd Ste 1a
Kailua Kona, HI 96740-2112
Mailing address
75-127 Lunapule Rd Ste 1a
Kailua Kona, HI 96740-2112
Phone (808) 769-2263
Other names 1
- Hawaii Holistic Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
75-127 Lunapule Rd
Ste 1A
Kailua Kona, HI 96740
Phone (808) 381-9878
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Ocean View, HI
- NPI 1528503232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726444800000",
"number": "1578189247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-127 LUNAPULE RD STE 1A",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402112",
"telephone_number": "808-769-2263",
"fax_number": "808-431-3092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-127 LUNAPULE RD STE 1A",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402112",
"telephone_number": "808-769-2263",
"fax_number": "808-431-3092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWAII HOLISTIC CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-18",
"last_updated": "2024-09-16",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "KOZMIDI",
"authorized_official_first_name": "ELENA",
"authorized_official_middle_name": "YURIEVNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-769-2263",
"authorized_official_credential": "LAC., LMT"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hawaii Holistic Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hawaii Holistic Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kailua Kona, HI
- Virginia Burford Hatch-Pigott, M.D.
- Brenda E Hathaway, BSN, RN
- Hawai'I Sports Performance and Rehabilitation LLC
- Hawaii Counseling Care LLC
- Hawaii Dental Group, Inc. (Hawaii Family Dental Centers-Kailua-Kona)
- Hawaii Island Recovery, LLC
- Hawaii Life Flight, LLC
- Hawaii Radiant Health, LLC
- Hawaii Spine Chiropractic and Wellness LLC
- Hawaii Spine Chiropractic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.