Kohala Coast Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

KOHALA COAST URGENT CARE LLC

Practice address

62-100 Kaunaoa Dr
Kamuela, HI 96743-9749

Phone

(808) 989-3885

NPI assigned

Jul 11, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Jaynice Akaka

Title

Office Manager

Phone

(808) 880-3321

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Molokai Family & Urgent Care

  • Family Medicine Physician
  • Kaunakakai, HI
  • NPI 1982394243
  NPPES parent name

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ka'Ohimanu L.K.D. Akiona, MD

  • Family Medicine Physician
  • Kamuela, HI
  • NPI 1043658081
  Medicare reassignment Care Compare group NPD
• Stephanie Ann Dodge, PHD

  • Psychologist
  • Hilo, HI
  • NPI 1942569629
  Medicare reassignment Care Compare group NPD
• Natalie K.a. Kong, M.D.

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1457678351

  HI

  Medicare reassignment Care Compare group NPD
• Aaron Wade Mitchell, LMHC, LMP

  • Mental Health Counselor
  • Kaunakakai, HI
  • NPI 1134356108
  Medicare reassignment NPD
• Mark Allan Knox, MD

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1407820434

  HI

  Medicare reassignment NPD
• Atharva Prashant Joshi, MD

  • Family Medicine Physician
  • Kaunakakai, HI
  • NPI 1376162693
  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1881328441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62-100 KAUNAOA DR",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967439749",
            "telephone_number": "808-989-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62-100 KAUNAOA DR",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967439749",
            "telephone_number": "808-989-3885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Ala Malama Ave",
            "address_purpose": "LOCATION",
            "city": "Kaunakakai",
            "state": "HI",
            "postal_code": "96748",
            "country_code": "US",
            "telephone_number": "808-880-3321",
            "fax_number": "808-475-0061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOHALA COAST URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2023-05-15",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "AKAKA",
        "authorized_official_first_name": "JAYNICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-880-3321",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Marie Kerns, CMS-CHT
• Lori Ann K. Kim, O.D.
• Michael W Kimball, M.D.
• Cheryl Knowles, LMT/RN
• David A. Knowles, PA-C
• Kona Center of Facial Surgery
• Nicole M Koranda, OTRL
• Victoria Korge, PSY.D.
• Koru Health and Beauty, LLC
• Brian Seigo Kubo, DDS

• Urgent Care Clinic/Center in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Urgent Care Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.