Individual provider Active NPI

Lisa Marie Garrett, FNP

  • Family Nurse Practitioner
  • Kapolei, HI
National Provider Identifier
1619216694
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1531 Issued in HI
Practice address
599 Farrington Hwy
Kapolei, HI 96707
Phone
(808) 674-9500
Fax
(808) 674-9436
NPI assigned
Feb 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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 1531 HI Primary

Addresses

Primary practice location

599 Farrington Hwy
Kapolei, HI 96707

Mailing address

91-1169 Hokua St
Ewa Beach, HI 96706-5803
Phone (808) 389-2074

Other practice location 1

599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 674-9500 ext. 7362

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
I20130810000057 HI Practitioner - Nurse Practitioner 9931354131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Queens Medical CenterGroup PAC ID 3476454067, 191 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 691-1000

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1531HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Queen's Medical Center CurrentSince Dec 9, 2015 Accepting new patients
The Queens Medical Center CurrentSince Dec 9, 2015 Accepting new patients

Locations

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

377 Keahole St
Honolulu, HI 96825
Phone (808) 395-4427

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

599 Farrington Hwy
Ste 201
Kapolei, HI 96707
Phone (808) 674-9500

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1619216694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1169 HOKUA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065803",
            "telephone_number": "808-389-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "96707",
            "telephone_number": "808-674-9500",
            "fax_number": "808-674-9436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Farrington Hwy",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "96707",
            "country_code": "US",
            "telephone_number": "808-674-9500 x7362",
            "fax_number": "808-674-9436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "1531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

Verify at the official NPI Registry.