Keanuenue Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KEANUENUE PEDIATRICS, LLC

Practice address

615 Piikoi St Ste 1501
Honolulu, HI 96814-3142

Phone

(808) 600-2180

Fax

(808) 600-2199

NPI assigned

Jun 29, 2020

Last updated

Sep 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jasmine Waipa, MDNPI 1598923831

Title

Physician-Owner

Phone

(808) 372-2477

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jasmine K Waipa, M.D.

  • Pediatrics Physician
  • Honolulu, HI
  • NPI 1598923831
  Medicare reassignment NPD Authorized official
• Mackenzie Daniels

  • Physician Assistant
  • Honolulu, HI
  • NPI 1427895374
  Medicare reassignment
• Kaylee Neumann, DNP, APRN-RX, FNP-BC

  • Family Nurse Practitioner
  • Honolulu, HI
  • NPI 1407657844
  NPD
• Katherine Rorer, DO

  • Pediatrics Physician
  • Honolulu, HI
  • NPI 1083028120

  Single Specialty

  NPD
• Courtney Kielemaikalani Taum, M.D.

  • Pediatrics Physician
  • Honolulu, HI
  • NPI 1255867404
  NPD
• Andrew Ken Stridiron, MD

  • Pediatrics Physician
  • Honolulu, HI
  • NPI 1598414203

  Single Specialty

  NPD (past)
• Cheryl S Twu, D.O.

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
  • NPI 1982845681
  NPD (past)
• Alyssa Honda

  • Student in an Organized Health Care Education/Training Program
  • Palo Alto, CA
  • NPI 1992239313
  NPD (past)

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632528000000",
    "number": "1720605504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 10TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162213",
            "telephone_number": "808-372-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST STE 1501",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143142",
            "telephone_number": "808-600-2180",
            "fax_number": "808-600-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEANUENUE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A",
        "authorized_official_last_name": "WAIPA",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER",
        "authorized_official_telephone_number": "808-372-2477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688989",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel Kuhia Kealoha
• Lisa R. Kealoha, MSW
• Marlee Kaiulani Kealoha
• Shaianne Kealoha
• William Kealoha Jr., MPH, OTR/L
• Greg Keast, LCSW
• Tajanay Sharron-Marie Keaton-Chesson, LCSW
• Kei Asae Keaulana
• Keeco Anesthesia Inc.
• Timothy Joseph Keene, MD

• Pediatrics Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pediatrics Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.