Beth Ananda-Stout, PHD, APRN

Individual provider Active NPI Psychiatric/Mental Health Clinical Nurse Specialist · Hilo, HI

NPI 1821032459 · NPPES record last updated Jul 7, 2020

Key facts

NPI
1821032459
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X
License
APRN 106 (HI)
Practice address
891 Ululani St Ste 205
Hilo, HI 96720-3982
Phone
(808) 936-7795
Fax
(808) 666-9340
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

305 Wailuku Dr
Suite 6B
Hilo, HI 96720-2488
Phone (808) 936-7795

Medicare participation

Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150119000334 HI Practitioner - Nurse Practitioner 4587988720 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
APRN 106HIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Therapeia LLC Psychiatric/Mental Health Current
since Mar 1, 2020
Accepting new patients

Locations

891 Ululani St
Ste 205
Hilo, HI 96720
Phone (808) 936-7795

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN 106 HI
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X APRN 106 HI Yes

Addresses

Primary practice location

891 Ululani St Ste 205
Hilo, HI 96720-3982

Mailing address

PO Box 917
Keaau, HI 96749-0917
Phone (808) 936-7795

Other practice location 1

1285 Waianuenue Ave
VAPIHCS: Hilo CBOC
Hilo, HI 96720-1209
Phone (808) 935-3781

Other practice location 2

101 Aupuni St
Hilo, HI 96720-4246
Phone (808) 936-7795

Other practice location 3

891 Ululani St
Hilo, HI 96720-3982
Phone (808) 936-7795

Other providers in Hilo, HI

All providers in Hilo, HI · Psychiatric/Mental Health Clinical Nurse Specialist in Hawaii

Sources for this page

Verify at the official NPI Registry.