Individual provider Active NPI

Beth Ananda-Stout, PHD, APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Hilo, HI
National Provider Identifier
1821032459
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
APRN 106 Issued in 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
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 2

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

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

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
I20150119000334 HI Practitioner - Nurse Practitioner 4587988720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
APRN 106HIMDAdvanced Practice Midwife

Practice roles

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

Locations

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

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1821032459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967490917",
            "telephone_number": "808-936-7795",
            "fax_number": "808-935-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 ULULANI ST STE 205",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203982",
            "telephone_number": "808-936-7795",
            "fax_number": "808-666-9340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1285 Waianuenue Ave",
            "address_2": "VAPIHCS: Hilo CBOC",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967201209",
            "country_code": "US",
            "telephone_number": "808-935-3781",
            "fax_number": "808-935-3783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Aupuni St",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967204246",
            "country_code": "US",
            "telephone_number": "808-936-7795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "891 Ululani St",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967203982",
            "country_code": "US",
            "telephone_number": "808-936-7795",
            "fax_number": "808-935-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANANDA-STOUT",
        "first_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "HI",
            "license": "APRN 106",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN 106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.