Individual provider Active NPI

Christina Marie Eichenauer, APRN

  • Family Nurse Practitioner
  • Lihue, HI
National Provider Identifier
1841896289
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-3090 Issued in HI
Practice address
4139 Hardy St Ste C
Lihue, HI 96766-1357
Phone
(808) 212-7820
Fax
(808) 207-6851
NPI assigned
Dec 10, 2020
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-3090 HI Primary

Addresses

Primary practice location

4139 Hardy St Ste C
Lihue, HI 96766-1357

Mailing address

4-831 Kubio Hwy
Ste 438 #329
Kapaa, HI 96746
Phone (610) 217-3721

Other practice location 1

4-1565 Kuhio Hwy Ste B
Kapaa, HI 96746-1866
Phone (808) 854-6335

Other names 1

  • Christina Marie Sgarlata Former name

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
I20220221000810 HI Practitioner - Nurse Practitioner 3173917960 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kalaheo Wellness Center LLC Family CurrentSince Jan 20, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26690/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1841896289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-831 KUBIO HWY",
            "address_2": "STE 438 #329",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "96746",
            "telephone_number": "610-217-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 HARDY ST STE C",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661357",
            "telephone_number": "808-212-7820",
            "fax_number": "808-207-6851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4-1565 Kuhio Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Kapaa",
            "state": "HI",
            "postal_code": "967461866",
            "country_code": "US",
            "telephone_number": "808-854-6335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EICHENAUER",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "SGARLATA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.