Active NPI
Christina Nancy Braddock
- Family Nurse Practitioner
- Haleiwa, HI
National Provider Identifier
1659183416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-4970
- Practice address
- 66-498 Kilioe PL
Haleiwa, HI 96712-1429 - Phone
- (808) 212-9922
- NPI assigned
- Jan 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-4970 | HI | Primary |
Addresses
Primary practice location
66-498 Kilioe PL
Haleiwa, HI 96712-1429
Mailing address
66-498 Kilioe PL
Haleiwa, HI 96712-1429
Phone (808) 212-9922
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-4970 | HI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1659183416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66-498 KILIOE PL",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967121429",
"telephone_number": "808-212-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66-498 KILIOE PL",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967121429",
"telephone_number": "808-212-9922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADDOCK",
"first_name": "CHRISTINA",
"middle_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-20",
"last_updated": "2025-01-20",
"certification_date": "2025-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN-4970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haleiwa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.