Amelia Greenidge

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-5292-0 Issued in HI

Practice address

131 Puukani St
Kahului, HI 96732-2956

Phone

(808) 359-4395

NPI assigned

Jun 30, 2025

Last updated

Jun 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• George Mackel, Pmhnp-BC, LLC

  dba Ohana Care Clinic

  • Rural Health Clinic/Center
  • Hilo, HI
  • NPI 1184583585
  Medicare reassignment

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1689563165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PUUKANI ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322956",
            "telephone_number": "808-359-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PUUKANI ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322956",
            "telephone_number": "808-359-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENIDGE",
        "first_name": "AMELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-5292-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portia Riley Goyette, LMFT, DCC
• Kayla Graham
• Ashley Megan Grainger, BS, RDH
• Lance Anthony Gray
• Helen Green, APRN
• Kalani Walker Gregory
• Don Griffith, M.D.
• Jessica Lynn Groff, MOT, OTR/L
• Jerilyn Gudoy, PHARM D
• Patricia Anne Guerrero

• Psychiatric/Mental Health Nurse Practitioner in Kahului, HI
• Providers in Kahului, HI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.