Active NPI
Donna Elise Pratt, M.D.
- Specialist
- Honolulu, HI
National Provider Identifier
1821159765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD-15819
- Practice address
- 1132 Bishop St.
Suite #1110
Honolulu, HI 96813 - Phone
- (808) 537-1164
- Fax
- (808) 537-1174
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036052546 | IL | |
| Specialist | 174400000X | 01042194A | IN | |
| Specialist | 174400000X | MD-15819 | HI | Primary |
Addresses
Primary practice location
1132 Bishop St.
Suite #1110
Honolulu, HI 96813
Mailing address
1132 Bishop St.
Suite #1110
Honolulu, HI 96813
Phone (808) 537-1164
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363543494 | Other | IL | TAX ID # |
| C39290 | Other | IL | UPIN # |
| 1606654 | Other | IL | BLUE CROSS SHIELD PIN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-15819 | HI | MD | Specialist |
| 036052546 | IL | MD | Specialist |
| 01042194A | IN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1821159765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 BISHOP ST.",
"address_2": "SUITE #1110",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96813",
"telephone_number": "808-537-1164",
"fax_number": "808-537-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 BISHOP ST.",
"address_2": "SUITE #1110",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96813",
"telephone_number": "808-537-1164",
"fax_number": "808-537-1174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "DONNA",
"middle_name": "ELISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036052546",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01042194A",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "MD-15819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "363543494",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN #",
"identifier": "C39290",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS SHIELD PIN #",
"identifier": "1606654",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.