Individual provider Active NPI

Michele Uematsu

  • Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1811748239
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-4350 Issued in HI
Practice address
500 Ala Moana Blvd Ste 6230
Honolulu, HI 96813-4929
Phone
(808) 524-6115
NPI assigned
Apr 1, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN-4350 HI
Nurse Practitioner 363L00000X APRN-4350 HI Primary

Addresses

Primary practice location

500 Ala Moana Blvd Ste 6230
Honolulu, HI 96813-4929

Mailing address

PO Box 750033
Atlanta, GA 30374-7833
Phone (855) 963-2100

Other practice location 1

98-150 Kaonohi St Ste B219
Aiea, HI 96701-5022
Phone (808) 539-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107001287 HI Practitioner - Nurse Practitioner 2961936349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Cancer Care Inc Current Accepting new patients
American Oncology Partners of Hawaii, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

98-150 Kaonohi St
Ste B219
Aiea, HI 96701
Phone (808) 539-2273

98-150 Kaonohi St
Ste B219
Aiea, HI 96701

500 Ala Moana Blvd
Ste 6230
Honolulu, HI 96813
Phone (808) 524-6115

17 Laa St
Unit B
Kahului, HI 96732
Phone (808) 524-6115

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": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1811748239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750033",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303747833",
            "telephone_number": "855-963-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 6230",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134929",
            "telephone_number": "808-524-6115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98-150 Kaonohi St Ste B219",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967015022",
            "country_code": "US",
            "telephone_number": "808-539-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UEMATSU",
        "first_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "HI",
            "license": "APRN-4350",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-4350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.