Karisa Alana Deitch, RN, BSN
Individual provider Active NPI Registered Nurse · Pearl City, HI
NPI 1770075004 · NPPES record last updated Jun 1, 2018
Key facts
- NPI
- 1770075004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 81610 (HI)
- Practice address
- 860 4TH St RM 205
Pearl City, HI 96782-3312 - Phone
- (808) 453-6224
- Fax
- (808) 453-5966
- NPI assigned
- Jun 1, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95107923 | CA | MD | Registered Nurse |
| 81610 | HI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95107923 | CA | |
| Registered Nurse | 163W00000X | 81610 | HI | Yes |
Addresses
Primary practice location
860 4TH St RM 205
Pearl City, HI 96782-3312
Mailing address
860 4TH St RM 205
Pearl City, HI 96782-3312
Phone (808) 453-6224
Other providers in Pearl City, HI
- Sara Fischlowitz Davis
- Dayton Q.L. Lum, D.D.S., Inc.
- Rizel Patricio De Guzman
- Sydny Degerlund
- Regina Deguzman
- Keri Mieko Tokimasa Delos Santos
- Dental Concepts LLC
- Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
- Dept. of Health-Hawaii-Developmental Disabilities Division Cmu5
- Dept. of Health-Hawaii-Developmental Disabilities Division Cmu6
All providers in Pearl City, HI · Registered Nurse in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.