Active NPI
Julie Amanda Agno, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Hilo, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN-4968
- Practice address
- 891 Ululani St
Hilo, HI 96720-3982 - Phone
- (808) 930-0777
- NPI assigned
- Jun 2, 2011
- Last updated
- Jan 23, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN-4968 | HI | Primary |
Addresses
Primary practice location
891 Ululani St
Hilo, HI 96720-3982
Mailing address
PO Box 492578
Keaau, HI 96749-2578
Phone (808) 690-4836
Other names 1
- Julie Amanda Lutz
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-4968 | HI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Hawaii, Inc. | Current | Accepting new patients | |
| Benchmark Behavioral Health | Past | Accepting new patients | |
| Care Hawaii, Inc. | Past | Accepting new patients |
Locations
891 Ululani St
Hilo, HI 96720
Phone (808) 930-0777
1345 S Beretania St
Honolulu, HI 96814
Phone (808) 291-5375
1345 S Beretania St
Ste 301
Honolulu, HI 96814
Phone (808) 490-5723
3501 Rice St
Ste 2020
Lihue, HI 96766
Phone (808) 245-7548
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Honolulu, HI
- NPI 1770603425
-
- Mental Illness Community Based Residential Treatment Facility
- Pearl City, HI
- NPI 1346476942
-
- Community/Behavioral Health Agency
- Honolulu, HI
- NPI 1770219842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1861786238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 492578",
"city": "KEAAU",
"state": "HI",
"postal_code": "967492578",
"telephone_number": "808-690-4836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "891 ULULANI ST",
"city": "HILO",
"state": "HI",
"postal_code": "967203982",
"telephone_number": "808-930-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGNO",
"first_name": "JULIE",
"middle_name": "AMANDA",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "HI",
"license": "APRN-4968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "LUTZ",
"middle_name": "AMANDA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.