Organization Active NPI

Olu Wellness, LLC

  • Family Nurse Practitioner
  • Keaau, HI
National Provider Identifier
1760160865
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
OLU WELLNESS, LLC
Practice address
16-590 Old Volcano Rd Ste B
Keaau, HI 96749-8158
Phone
(808) 430-0794
Fax
(808) 930-4721
NPI assigned
Jul 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Rae Lynne Newpher, APRN
Title
Owner
Phone
(808) 430-0794

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

16-590 Old Volcano Rd Ste B
Keaau, HI 96749-8158

Mailing address

16-590 Old Volcano Rd Ste B
Keaau, HI 96749-8158
Phone (808) 430-0794

National Provider Directory

National Provider Directory

Locations

16-590 Old Volcano Rd
Ste B
Keaau, HI 96749
Phone (808) 333-3450

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1760160865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16-590 OLD VOLCANO RD STE B",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967498158",
            "telephone_number": "808-430-0794",
            "fax_number": "808-930-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-590 OLD VOLCANO RD STE B",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967498158",
            "telephone_number": "808-430-0794",
            "fax_number": "808-930-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLU WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "NEWPHER",
        "authorized_official_first_name": "RAE LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-430-0794",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keaau, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.