Active NPI
Tranquil Shores Mental Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- Hilo, HI
National Provider Identifier
1790672277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- TRANQUIL SHORES MENTAL WELLNESS LLC
- Practice address
- 120 Keawe St # 203B
Hilo, HI 96720-2874 - Phone
- (808) 400-6315
- Fax
- (808) 480-8344
- NPI assigned
- Jun 18, 2025
- Last updated
- Jun 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Ervin, APRN
- Title
- Owner
- Phone
- (808) 400-6315
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
120 Keawe St # 203B
Hilo, HI 96720-2874
Mailing address
PO Box 554
Hilo, HI 96721-0554
National Provider Directory
National Provider DirectoryLocations
120 Keawe St
#203B
Hilo, HI 96720
Phone (808) 400-6315
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hilo, HI
- NPI 1881033439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750204800000",
"number": "1790672277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 554",
"city": "HILO",
"state": "HI",
"postal_code": "967210554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 KEAWE ST # 203B",
"city": "HILO",
"state": "HI",
"postal_code": "967202874",
"telephone_number": "808-400-6315",
"fax_number": "808-480-8344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANQUIL SHORES MENTAL WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-18",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A",
"authorized_official_last_name": "ERVIN",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-400-6315",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.