Active NPI
Laura Lee Hendricks Weissbach
- Pediatric Nurse Practitioner
- Honolulu, HI
National Provider Identifier
1821322355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN-1133
- Practice address
- 2828 Paa St
Honolulu, HI 96819-4430 - Phone
- (808) 432-5656
- NPI assigned
- Sep 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-54391 | HI | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN-1133 | HI | Primary |
Addresses
Primary practice location
2828 Paa St
Honolulu, HI 96819-4430
Mailing address
3027 Pualei Cir Apt 209
Honolulu, HI 96815-4969
Phone (808) 927-5899
Other names 1
- Laura Lee White
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-54391 | HI | MD | Registered Nurse |
| APRN-1133 | HI | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1821322355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 PUALEI CIR APT 209",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968154969",
"telephone_number": "808-927-5899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 PAA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968194430",
"telephone_number": "808-432-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSBACH",
"first_name": "LAURA",
"middle_name": "LEE HENDRICKS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-30",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "RN-54391",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "HI",
"license": "APRN-1133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "WHITE",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.