Individual provider Active NPI

Annette Lynn Manant, CNM

  • Women's Health Nurse Practitioner
  • Honokaa, HI
National Provider Identifier
1841267705
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN-1087 Issued in HI
Practice address
45-549 Plumeria St
Honokaa, HI 96727-6902
Phone
(808) 775-7204
Fax
(808) 775-9404
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN-1087HIMDWomen's Health Nurse Practitioner
AP30000951WAMDWomen's Health Nurse Practitioner

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP30000951 WA
Women's Health Nurse Practitioner 363LW0102X APRN-1087 HI Primary

Addresses

NPPES NPI Registry

Primary practice location

45-549 Plumeria St
Honokaa, HI 96727-6902

Mailing address

45-549 Plumeria St
Honokaa, HI 96727-6902
Phone (808) 930-2716

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
APRN-1087OtherHISTATE LICENSE
RN00228OtherHICONTROLLED SUBSTANCES

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841267705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-549 PLUMERIA ST",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967276902",
            "telephone_number": "808-930-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-549 PLUMERIA ST",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967276902",
            "telephone_number": "808-775-7204",
            "fax_number": "808-775-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANANT",
        "first_name": "ANNETTE",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30000951",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "HI",
            "license": "APRN-1087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN-1087",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCES",
            "identifier": "RN00228",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honokaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.