Individual provider Active NPI

Aurelina Kraemer

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1700366366
Registry record updated Sep 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2487 Issued in HI
Practice address
1441 Kapiolani Blvd Ste 608
Honolulu, HI 96814-4403
Phone
(808) 551-9944
Fax
(808) 762-9294
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2020

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 2487 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd Ste 608
Honolulu, HI 96814-4403

Mailing address

PO Box 25988
Honolulu, HI 96825-0988
Phone (808) 222-4777

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
I20190404001618 HI Practitioner - Nurse Practitioner 5395086128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2487HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Care Clinic Inc CurrentSince Jan 8, 2019 Accepting new patients

Locations

1441 Kapiolani Blvd
Ste 608
Honolulu, HI 96814
Phone (808) 955-3636

1441 Kapiolani Blvd
Ste 304
Honolulu, HI 96814
Phone (808) 551-9944

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": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1700366366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25988",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250988",
            "telephone_number": "808-222-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 608",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144403",
            "telephone_number": "808-551-9944",
            "fax_number": "808-762-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAEMER",
        "first_name": "AURELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "2487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.