Active NPI
Sharon Keolakalani Labasan Kotter, RN
- General Practice Registered Nurse
- Wailuku, HI
National Provider Identifier
1649096983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 55454
- Practice address
- 20 Maka Hou Loop
Wailuku, HI 96793-3511 - Phone
- (808) 371-6073
- NPI assigned
- Dec 3, 2024
- 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 Registered Nurse | 163WG0000X | 55454 | HI | Primary |
Addresses
Primary practice location
20 Maka Hou Loop
Wailuku, HI 96793-3511
Mailing address
20 Maka Hou Loop
Wailuku, HI 96793-3511
Phone (808) 371-6073
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55454 | HI | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1649096983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MAKA HOU LOOP",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967933511",
"telephone_number": "808-371-6073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MAKA HOU LOOP",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967933511",
"telephone_number": "808-371-6073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTTER",
"first_name": "SHARON",
"middle_name": "KEOLAKALANI LABASAN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "HI",
"license": "55454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.