NPIMap

Organization Active NPI

Wellness Partners Hawaii Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1609382340
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1741 Issued in HI
Legal business name
WELLNESS PARTNERS HAWAII INC
Practice address
6700 Kalanianaole Hwy Ste 201
Honolulu, HI 96825-1279
Phone
(808) 379-6656
Fax
(808) 379-3750
NPI assigned
Dec 18, 2017
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Bradley John Kuo, APRNNPI 1528487121
Title
President
Phone
(808) 379-6656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1741 HI Primary

Addresses

Primary practice location

6700 Kalanianaole Hwy Ste 201
Honolulu, HI 96825-1279

Mailing address

PO Box 26062
Honolulu, HI 96825-6062

Other practice location 1

377 Keahole St # 211-C
Honolulu, HI 96825-3405
Phone (808) 379-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220301000359 HI Part B Supplier - Clinic/Group Practice 4183018559 Receives reassigned benefits from 30 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

377 Keahole St
#211C
Honolulu, HI 96825
Phone (808) 379-6656

6700 Kalanianaole Hwy
Ste 201
Honolulu, HI 96825
Phone (808) 264-4915

850 W Hind Dr
Ste 116
Honolulu, HI 96821
Phone (808) 379-6656

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1609382340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26062",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968256062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 KALANIANAOLE HWY STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251279",
            "telephone_number": "808-379-6656",
            "fax_number": "808-379-3750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 Keahole St # 211-C",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968253405",
            "country_code": "US",
            "telephone_number": "808-379-6656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS PARTNERS HAWAII INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "KUO",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-379-6656",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "1741",
            "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 Oct 25, 2022; 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.

Verify at the official NPI Registry.