Active NPI
Kimberly K Hooverson, DO
- General Practice Physician
- Honolulu, HI
National Provider Identifier
1598992919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 1392
- Practice address
- 1146 Fort Steeet Mall
Honolulu, HI 96813 - Phone
- (808) 940-3831
- NPI assigned
- Jun 11, 2009
- Last updated
- Feb 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 1392 | HI | Primary |
Addresses
Primary practice location
1146 Fort Steeet Mall
Honolulu, HI 96813
Mailing address
2902 Kuhio Ave
Apt 1405
Honolulu, HI 96815
Phone (206) 227-2052
Other practice location 1
1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 96859-5001
Phone (206) 227-2052
Other practice location 2
3615 Harding Ave Ste 305B
Honolulu, HI 96816-3759
Phone (206) 227-2052
Other practice location 3
2902 Kuhio Ave
Apt 1405
Honolulu, HI 96815
Phone (808) 940-3831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1392 | HI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1598992919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2902 KUHIO AVE",
"address_2": "APT 1405",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96815",
"telephone_number": "206-227-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1146 FORT STEEET MALL",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96813",
"telephone_number": "808-940-3831"
}
],
"practiceLocations": [
{
"address_1": "1 Jarrett White Rd",
"address_2": "Tripler Army Medical Center",
"address_purpose": "LOCATION",
"city": "Tripler Army Medical Center",
"state": "HI",
"postal_code": "968595001",
"country_code": "US",
"telephone_number": "206-227-2052",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3615 Harding Ave Ste 305B",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968163759",
"country_code": "US",
"telephone_number": "206-227-2052",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2902 Kuhio Ave",
"address_2": "APT 1405",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "96815",
"country_code": "US",
"telephone_number": "808-940-3831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOOVERSON",
"first_name": "KIMBERLY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-11",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "HI",
"license": "1392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.