Individual provider Active NPI

Paul Coelho, APRN-RX

  • Clinical Nurse Specialist
  • Waipahu, HI
National Provider Identifier
1700396124
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
APRN-2353 Issued in HI
Practice address
94-229 Waipahu Depot St Ste 308
Waipahu, HI 96797-3033
Phone
(808) 582-8881
NPI assigned
Oct 11, 2017
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X APRN-2353 HI Primary
Adult Health Clinical Nurse Specialist 364SA2200X APRN-2353 HI
Gerontology Clinical Nurse Specialist 364SG0600X APRN-2353 HI

Addresses

Primary practice location

94-229 Waipahu Depot St Ste 308
Waipahu, HI 96797-3033

Mailing address

60 N Beretania St Apt 2003
Honolulu, HI 96817-4759
Phone (808) 582-8881

Other practice location 1

94-730 Farrington Hwy
Waipahu, HI 96797-3348
Phone (808) 582-8881

Other names 1

  • Paul Okada-Coelho Former name

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
I20181017001205 HI Practitioner - Certified Clinical Nurse Specialist (CNS) 2961761275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

94 -229 Waipahu Depot St
Suite 308
Waipahu, HI 96797-3033
Phone (808) 582-8881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-2353HIMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Waikiki CurrentSince Mar 1, 2019 Accepting new patients
Alohi Clinic, LLC CurrentSince Jul 1, 2023 Accepting new patients
Doctors of Waikiki CurrentSince Mar 1, 2019 Accepting new patients
Alosa, Inc Past Accepting new patients

Locations

120 Kaiulani Ave
#1011
Honolulu, HI 96815
Phone (808) 304-6676

94-229 Waipahu Depot St
Ste 308
Waipahu, HI 96797
Phone (808) 533-2224

94-730 Farrington Hwy
Waipahu, HI 96797
Phone (808) 582-8881

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: paul.coelho@609292688424964.direct.elationemr.com
  • Direct secure messaging: paul.okada-coelho@118272397672452.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1700396124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N BERETANIA ST APT 2003",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174759",
            "telephone_number": "808-582-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 308",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973033",
            "telephone_number": "808-582-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-730 Farrington Hwy",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967973348",
            "country_code": "US",
            "telephone_number": "808-582-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COELHO",
        "first_name": "PAUL",
        "credential": "APRN-RX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "HI",
            "license": "APRN-2353",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "HI",
            "license": "APRN-2353",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "HI",
            "license": "APRN-2353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "OKADA-COELHO",
            "credential": "APRN-RX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.