Individual provider Active NPI

Naomi Summer Whitaker, APNP

  • Family Nurse Practitioner
  • NA'Alehu, HI
National Provider Identifier
1750635157
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-2571 Issued in HI
Practice address
95-5583 Mamalahoa Hwy
NA'Alehu, HI 96772
Phone
(808) 333-3600
NPI assigned
Nov 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-2571 HI Primary
Family Nurse Practitioner 363LF0000X 5133 WI

Addresses

Primary practice location

95-5583 Mamalahoa Hwy
NA'Alehu, HI 96772

Mailing address

75-5751 Kuakini Hwy Ste 203
Kailua Kona, HI 96740-1753
Phone (808) 333-3600

Other practice location 1

16-192 Pili Mua St
Keaau, HI 96749-8134
Phone (808) 930-0400

Other names 1

  • Naomi Summer Landry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130125000163 WI Practitioner - Nurse Practitioner 9830343961 Reassigns benefits to 2 organizations
I20190708001918 HI Practitioner - Nurse Practitioner 9830343961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Aupuni St
Hilo, HI 96720-6601

1178 Kinoole St
Hilo, HI 96720-7206

450 Kilauea Ave
Suite 105
Hilo, HI 96720-3085

541 Pohakulani St
Hilo, HI 96720-3134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5133WIMDDental Hygienist
APRN-2571HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Hawaii Community Health Center, Inc. CurrentSince Apr 29, 2019 Accepting new patients
Gundersen Clinic LTD Current Accepting new patients
West Hawaii Community Health Center, Inc. Current Accepting new patients
West Hawaii Community Health Center, Inc. CurrentSince Apr 29, 2019 Accepting new patients
Hawaii Island HIV/AIDS Foundation CurrentSince Dec 24, 2022 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jun 1, 2013 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jun 1, 2013 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Clinic LTD CurrentSince Dec 3, 2012 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Dec 3, 2012 Accepting new patients

Locations

1178 Kinoole St
Hilo, HI 96720
Phone (808) 961-4082

450 Kilauea Ave
Ste 105
Hilo, HI 96720
Phone (808) 961-4071

75-5751 Kuakini Hwy
Ste 203
Kailua Kona, HI 96740
Phone (808) 326-3878

74-5620 Palani Rd
Ste 101
Kailua Kona, HI 96740
Phone (808) 331-8177

16-192 Pili Mua St
Keaau, HI 96749
Phone (808) 930-0040

15-2866 Pahoa Village Rd
Bldg C
Pahoa, HI 96778
Phone (808) 965-9711

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

Interoperability endpoints

  • Direct secure messaging: naomi.whitaker@998469219647492.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/20517/brand/1/csg/1/fhir/r4
  • Direct secure messaging: naomi.whitaker.1@20517.direct.athenahealth.com
  • Direct secure messaging: naomi.whitaker.1@14940.direct.athenahealth.com

Organizations & group practices 10

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": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1750635157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY STE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401753",
            "telephone_number": "808-333-3600",
            "fax_number": "808-961-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-5583 MAMALAHOA HWY",
            "city": "NA'ALEHU",
            "state": "HI",
            "postal_code": "96772",
            "telephone_number": "808-333-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16-192 Pili Mua St",
            "address_purpose": "LOCATION",
            "city": "Keaau",
            "state": "HI",
            "postal_code": "967498134",
            "country_code": "US",
            "telephone_number": "808-930-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "NAOMI",
        "middle_name": "SUMMER",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2022-08-01",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2571",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "LANDRY",
            "middle_name": "SUMMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in NA'Alehu, HI

Sources for this page

Verify at the official NPI Registry.