Active NPI
Julie Jensen-Fitch, APRN
- Adult Health Clinical Nurse Specialist
- Anahola, HI
National Provider Identifier
1790306199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- APRN-2518
- Practice address
- 4735 Aliomanu Rd
Anahola, HI 96703 - Phone
- (630) 631-2568
- NPI assigned
- Apr 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | APRN-2518 | HI | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | APRN-2518 | HI | Primary |
Addresses
Primary practice location
4735 Aliomanu Rd
Anahola, HI 96703
Mailing address
PO Box 137
Anahola, HI 96703-0137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN-2518 | Other | HI | STATE OF HAWAII |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-2518 | HI | MD | Gerontology Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1790306199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 137",
"city": "ANAHOLA",
"state": "HI",
"postal_code": "967030137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 ALIOMANU RD",
"city": "ANAHOLA",
"state": "HI",
"postal_code": "96703",
"telephone_number": "630-631-2568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN-FITCH",
"first_name": "JULIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-27",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "HI",
"license": "APRN-2518",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "HI",
"license": "APRN-2518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF HAWAII",
"identifier": "APRN-2518",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anahola, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.