Active NPI
Wendy Flannery
- Registered Nurse
- Kealakekua, HI
National Provider Identifier
1861520306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN - 29783
- Practice address
- 79-1020 Haukapila St
Kealakekua, HI 96750-7922 - Phone
- (808) 322-4818
- Fax
- (808) 322-4817
- NPI assigned
- Feb 28, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN - 29783 | HI | Primary |
Addresses
Primary practice location
79-1020 Haukapila St
Kealakekua, HI 96750-7922
Mailing address
PO Box 503
Kealakekua, HI 96750-0503
Phone (808) 217-1710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 539372-18 | Medicaid | HI |
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 - 29783 | HI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861520306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 503",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967500503",
"telephone_number": "808-217-1710",
"fax_number": "808-322-4817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79-1020 HAUKAPILA ST",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967507922",
"telephone_number": "808-322-4818",
"fax_number": "808-322-4817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANNERY",
"first_name": "WENDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "RN - 29783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "539372-18",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kealakekua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.