Individual provider Active NPI

Jessica NK Anahu

  • Family Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1801558036
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-3354-0 Issued in HI
Practice address
615 Ponahawai St Ste 101
Hilo, HI 96720-7665
Phone
(808) 933-9187
Fax
(808) 961-5905
NPI assigned
Oct 5, 2021
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-3354-0 HI Primary

Addresses

Primary practice location

615 Ponahawai St Ste 101
Hilo, HI 96720-7665

Mailing address

615 Ponahawai St Ste 101
Hilo, HI 96720-7665
Phone (808) 933-9187

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
I20211021002196 HI Order and Referring Only - Nurse Practitioner 4587052667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-3354-0HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Danielh. Belcher, M.D. Inc CurrentSince Nov 1, 2021 Accepting new patients
Hilo Academic Physicians Inc CurrentSince Oct 1, 2021 Accepting new patients

Locations

409 Kilauea Ave
Hilo, HI 96720
Phone (808) 933-9187

615 Ponahawai St
Ste 101
Hilo, HI 96720
Phone (808) 933-9187

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EACABD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1801558036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PONAHAWAI ST STE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207665",
            "telephone_number": "808-933-9187",
            "fax_number": "808-961-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PONAHAWAI ST STE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207665",
            "telephone_number": "808-933-9187",
            "fax_number": "808-961-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAHU",
        "first_name": "JESSICA",
        "middle_name": "NK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3354-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.