Individual provider Active NPI

Micah David, FNP-C

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1669961322
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN-2847 Issued in HI
Practice address
928 Nuuanu Ave Ste 104
Honolulu, HI 96817-5193
Phone
(808) 379-0428
Fax
(808) 320-6647
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN-2847 HI Primary

Addresses

Primary practice location

928 Nuuanu Ave Ste 104
Honolulu, HI 96817-5193

Mailing address

928 Nuuanu Ave
Ste 104
Honolulu, HI 96817-5193
Phone (808) 379-0428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN-2847HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Empowerment Resources CurrentSince Mar 1, 2020 Accepting new patients

Locations

1110 University Ave
Ste 411
Honolulu, HI 96826
Phone (808) 942-7800

Interoperability endpoints

  • Direct secure messaging: micah.david@hawaiihie.medicity.net

Organizations & group practices 1

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1669961322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 NUUANU AVE",
            "address_2": "STE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175193",
            "telephone_number": "808-379-0428",
            "fax_number": "808-320-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 NUUANU AVE STE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175193",
            "telephone_number": "808-379-0428",
            "fax_number": "808-320-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "MICAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "APRN-2847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.