Organization Active NPI

Ola Kai Behavioral Hawaii, LLC

  • Community Psychiatric/Mental Health Clinical Nurse Specialist
  • Ewa Beach, HI
National Provider Identifier
1629698360
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0812X
Legal business name
OLA KAI BEHAVIORAL HAWAII, LLC
Practice address
5921 Gannet Ave
Ewa Beach, HI 96706-3256
Phone
(808) 214-9433
NPI assigned
Apr 22, 2020
Last updated
Apr 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Ashley Renea, APRN-RX, PMHNP-BCNPI 1265944706
Title
Owner
Phone
(808) 214-9433

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
Community Psychiatric/Mental Health Clinical Nurse Specialist 364SP0812X NU Primary

Addresses

Primary practice location

5921 Gannet Ave
Ewa Beach, HI 96706-3256

Mailing address

5921 Gannet Ave
Ewa Beach, HI 96706-3256
Phone (808) 214-9433

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1629698360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 GANNET AVE",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063256",
            "telephone_number": "808-214-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 GANNET AVE",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063256",
            "telephone_number": "808-214-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLA KAI BEHAVIORAL HAWAII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "RENEA",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-214-9433",
        "authorized_official_credential": "APRN-RX, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.