Active NPI
Jolene Alexandra Galaviz, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Wahiawa, HI
National Provider Identifier
1689480907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-4943-0
- Practice address
- 935 California Ave Ste B17
Wahiawa, HI 96786-2166 - Phone
- (808) 778-5824
- NPI assigned
- Dec 10, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-4943-0 | HI | Primary |
Addresses
Primary practice location
935 California Ave Ste B17
Wahiawa, HI 96786-2166
Mailing address
2596 Waianae Uka Ave
Wahiawa, HI 96786-7022
Phone (806) 787-5394
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
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-4943-0 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nora Phillips LLC | Family | Current | Accepting new patients |
Locations
935 California Ave
Ste B17
Wahiawa, HI 96786
Phone (808) 778-5824
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.
-
- Family Nurse Practitioner
- Wahiawa, HI
- NPI 1225617467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1689480907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2596 WAIANAE UKA AVE",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967867022",
"telephone_number": "806-787-5394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 CALIFORNIA AVE STE B17",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967862166",
"telephone_number": "808-778-5824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALAVIZ",
"first_name": "JOLENE",
"middle_name": "ALEXANDRA",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-10",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN-4943-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wahiawa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.