Individual provider Active NPI

Ambie Fowler, FNP-BC

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1760867154
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-2722 Issued in HI
Practice address
459 Patterson Rd
Honolulu, HI 96819-1522
Phone
(800) 214-1306
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704251481 MI
Family Nurse Practitioner 363LF0000X APRN-2722 HI Primary

Addresses

Primary practice location

459 Patterson Rd
Honolulu, HI 96819-1522

Mailing address

459 Patterson Rd
Honolulu, HI 96819-1522
Phone (800) 214-1306

Other practice location 1

932 Ward Ave Ste 600
Honolulu, HI 96814-2193
Phone (808) 535-5555

Other practice location 2

1380 Lusitana St Ste 502
Honolulu, HI 96813-2441
Phone (808) 550-4939

Other practice location 3

98-1005 Moanalua Rd
Aiea, HI 96701-4777
Phone (808) 488-0958

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

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
I20200109000753 HI Practitioner - Nurse Practitioner 1153756721 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704251481MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan, Inc CurrentSince Jan 10, 2022 Accepting new patients
Kaiser Foundation Health Plan Inc Current Accepting new patients
Kaiser Foundation Health Plan Inc CurrentSince Jan 10, 2022 Accepting new patients
Jon F Graham MD LLC CurrentSince Nov 5, 2019 Accepting new patients
Manakai O Malama Integrative PastSince Jun 1, 2003 Accepting new patients

Locations

1380 Lusitana St
Ste 502
Honolulu, HI 96813
Phone (808) 533-0711

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

2828 Paa St
Honolulu, HI 96819
Phone (808) 432-5700

1441 Kapiolani Blvd
Ste 2020
Honolulu, HI 96814
Phone (808) 439-6201

599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600

Organizations & group practices 5

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": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1760867154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 PATTERSON RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191522",
            "telephone_number": "800-214-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 PATTERSON RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191522",
            "telephone_number": "800-214-1306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 Ward Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968142193",
            "country_code": "US",
            "telephone_number": "808-535-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 Lusitana St Ste 502",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132441",
            "country_code": "US",
            "telephone_number": "808-550-4939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98-1005 Moanalua Rd",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967014777",
            "country_code": "US",
            "telephone_number": "808-488-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "AMBIE",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704251481",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2828 Paa St",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968194430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.