Individual provider Active NPI

Brandi Angela Bartholomew, FNP

  • Family Nurse Practitioner
  • Kalaheo, HI
National Provider Identifier
1679957278
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1724 Issued in HI
Practice address
4416 Ahopueo Dr
Kalaheo, HI 96741-9400
Phone
(808) 635-2423
NPI assigned
Jul 13, 2015
Last updated
Jul 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1724 HI Primary

Addresses

Primary practice location

4416 Ahopueo Dr
Kalaheo, HI 96741-9400

Mailing address

4416 Ahopueo Dr
Kalaheo, HI 96741-9400
Phone (808) 635-2423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180327002761 HI Practitioner - Nurse Practitioner 0446512685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kauai Medical ClinicGroup PAC ID 5092628479, 147 clinicians

Practice addresses (Care Compare)

3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098
Phone (808) 245-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.39 of 100Reported as group
Quality
79.9
Promoting interoperability
99
Improvement activities
40
Cost
82.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1724HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Medical Clinic CurrentSince Feb 27, 2018 Accepting new patients
Kauai Medical Clinic CurrentSince Feb 27, 2018 Accepting new patients
Malama Pono Health Services Past Accepting new patients

Locations

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

Interoperability endpoints

  • Direct secure messaging: brandi.bartholomew.1@9863.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13184/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1679957278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 AHOPUEO DR",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967419400",
            "telephone_number": "808-635-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 AHOPUEO DR",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967419400",
            "telephone_number": "808-635-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "BRANDI",
        "middle_name": "ANGELA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "1724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalaheo, HI

Sources for this page

Verify at the official NPI Registry.