Botox Kailua LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BOTOX KAILUA LLC

Practice address

1005 Keolu Dr
Kailua, HI 96734-3873

Phone

(808) 272-0444

NPI assigned

Sep 5, 2025

Last updated

Sep 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brianna SortlandNPI 1255116240

Title

Owner

Phone

(808) 272-0444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brianna Sortland, FNP-BC

  • Nurse Practitioner
  • Kailua, HI
  • NPI 1255116240
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1841170123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 KEOLU DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343873",
            "telephone_number": "808-272-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 KEOLU DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343873",
            "telephone_number": "808-272-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTOX KAILUA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "SORTLAND",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-272-0444"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bookmark Counseling and Consultation
• Ken O Booth
• Lynda A Borges, M.T.
• Patricia L. Borman, MD
• Amelia Borofsky, PSYD
• John Jacob Bottorff, M.D.
• Samantha Bouck
• Edward Luke Bourke Jr., MD
• Sophie M Bourret, BCBA
• Rachael Bousman, CAT, MED

• Family Nurse Practitioner in Kailua, HI
• Providers in Kailua, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.