Active NPI
Island Medical Group, LLC
- Family Nurse Practitioner
- Honolulu, HI
National Provider Identifier
1639082407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ISLAND MEDICAL GROUP, LLC
- Practice address
- 119 Merchant St Ste 102
Honolulu, HI 96813-4434 - Phone
- (808) 431-7333
- NPI assigned
- Sep 23, 2026
- Last updated
- Sep 23, 2026
- 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
- Laura Lynne Burns, FNP-BC
- Title
- Medical Director
- Phone
- (808) 763-1048
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
119 Merchant St Ste 102
Honolulu, HI 96813-4434
Mailing address
119 Merchant St Ste 102
Honolulu, HI 96813-4434
Phone (808) 431-7333
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.
-
- Family Nurse Practitioner
- Ewa Beach, HI
- NPI 1770245466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1639082407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 MERCHANT ST STE 102",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134434",
"telephone_number": "808-431-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 MERCHANT ST STE 102",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134434",
"telephone_number": "808-431-7333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "808-763-1048",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
- Island Fever LLC
- Island Foot Care Corp
- Island Integrated Health LLC
- Island Medical and Beauty Clinic LLC
- Island Medical Consultants, LLC
- Island Medical Group, LLC (IV Ocean Therapy)
- Island Mobility Solutions LLC
- Island Neuro-Rehabilitation Associates
- Island Nursing Home, Inc.
- Island Obstetrics & Gynecology LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.