Active NPI
Me Lavonne Fuimaono-Poe, APRN RX- NP C
- Family Nurse Practitioner
- Honolulu, HI
National Provider Identifier
1770750127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN 1753
- Practice address
- 677 Ala Moana Blvd Ste 903
Honolulu, HI 96813-5416 - Phone
- (808) 308-0300
- Fax
- (833) 471-5801
- NPI assigned
- May 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN 1753 | HI | Primary |
Addresses
Primary practice location
677 Ala Moana Blvd Ste 903
Honolulu, HI 96813-5416
Mailing address
1132 Bishop St Unit 1704
Honolulu, HI 96813-2893
Phone (808) 489-2925
Other practice location 1
1050 Queen St Ste 100
Honolulu, HI 96814-4130
Phone (808) 518-0299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 539372-18 | Medicaid | HI |
Other names 1
- Mrs. Mae Lavonne Fuimaono
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN 1753 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoala I Ke Ola LLC | Current | Accepting new patients | |
| Occmed Health and Wellness, LLC | Current | Accepting new patients |
Locations
801 S Beretania St
Honolulu, HI 96813
Phone (808) 753-3935
677 Ala Moana Blvd
Ste 903
Honolulu, HI 96813
Phone (808) 308-0300
Interoperability endpoints
- me.fuimaono-poe.1@28590.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1851084057
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
-
- Occupational Medicine Clinic/Center
- Honolulu, HI
- NPI 1992481907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1770750127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 BISHOP ST UNIT 1704",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132893",
"telephone_number": "808-489-2925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 ALA MOANA BLVD STE 903",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968135416",
"telephone_number": "808-308-0300",
"fax_number": "833-471-5801"
}
],
"practiceLocations": [
{
"address_1": "1050 Queen St Ste 100",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968144130",
"country_code": "US",
"telephone_number": "808-518-0299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUIMAONO-POE",
"first_name": "ME",
"middle_name": "LAVONNE",
"credential": "APRN RX- NP C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "APRN 1753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "539372-18",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MAE",
"last_name": "FUIMAONO",
"middle_name": "LAVONNE",
"prefix": "MRS.",
"credential": "APRN-RX",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.