Active NPI
Carol Teresa Petith-Zbiciak, DNP, APRN - RX
- Nurse Practitioner
- Kahului, HI
National Provider Identifier
1699295295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 405
- Practice address
- 310 W. Kaahumanu Ave
Kahului, HI 96732-1617 - Phone
- (808) 984-3254
- NPI assigned
- Jun 23, 2017
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 405 | HI | Primary |
Addresses
Primary practice location
310 W. Kaahumanu Ave
Kahului, HI 96732-1617
Mailing address
PO Box 150
Wailuku, HI 96793-0150
Phone (808) 573-0630
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 |
|---|---|---|---|
| 405 | HI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498176000000",
"number": "1699295295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 150",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967930150",
"telephone_number": "808-573-0630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W. KAAHUMANU AVE",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967321617",
"telephone_number": "808-984-3254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETITH-ZBICIAK",
"first_name": "CAROL",
"middle_name": "TERESA",
"name_prefix": "Dr.",
"credential": "DNP, APRN - RX",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2017-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "HI",
"license": "405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.