Individual provider Active NPI

Kayla Lantry, LPN

  • Licensed Practical Nurse
  • Honolulu, HI
National Provider Identifier
1659135705
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN-16980 Issued in HI
Practice address
3375 Koapaka St Ste H435
Honolulu, HI 96819-1870
Phone
(808) 832-8232
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN-16980 HI Primary

Addresses

Primary practice location

3375 Koapaka St Ste H435
Honolulu, HI 96819-1870

Mailing address

3375 Koapaka St Ste H435
Honolulu, HI 96819-1870
Phone (808) 832-8232

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

State licenses

LicenseStateTypeSpecialty
LPN-16980HIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy Corporation of America PastSince Feb 11, 2024 Accepting new patients
Pharmacy Corporation of America PastSince Feb 11, 2024 Accepting new patients

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": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1659135705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 KOAPAKA ST STE H435",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191870",
            "telephone_number": "808-832-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 KOAPAKA ST STE H435",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191870",
            "telephone_number": "808-832-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTRY",
        "first_name": "KAYLA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "HI",
            "license": "LPN-16980",
            "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 Feb 9, 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.

Verify at the official NPI Registry.