Individual provider Active NPI

Liana Nicole Hamada, NP

  • Gerontology Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1891395034
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN-3068 Issued in HI
Practice address
405 N Kuakini St Ste 601
Honolulu, HI 96817-6302
Phone
(808) 686-4655
NPI assigned
Oct 27, 2020
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARPN-3068 HI
Gerontology Nurse Practitioner 363LG0600X APRN-3068 HI Primary

Addresses

Primary practice location

405 N Kuakini St Ste 601
Honolulu, HI 96817-6302

Mailing address

3375 Pawaina St
Honolulu, HI 96822-1352
Phone (808) 375-7360

Other practice location 1

321 N Kuakini St Ste 201
Honolulu, HI 96817-2399
Phone (808) 777-4000

Other practice location 2

500 Ala Moana Blvd Ste 6D
Honolulu, HI 96813-4984
Phone (808) 777-4000

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
I20201103002360 HI Practitioner - Nurse Practitioner 3971913906 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians
Primary Care Physician Enterprise LLCGroup PAC ID 0244661338, 12 clinicians

Practice addresses (Care Compare)

405 N Kuakini St
Suite 601
Honolulu, HI 96817-6302
Phone (808) 686-4650

91 -6390 Kapolei Pkwy
Suite 200
Ewa Beach, HI 96706-6380
Phone (808) 691-8200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARPN-3068HIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Physician Enterprise LLC CurrentSince Jul 15, 2022 Accepting new patients
The Queens Medical Center CurrentSince Jul 15, 2022 Accepting new patients
Ekahi Care Management LLC Nurse Practitioner CurrentSince Oct 26, 2020 Accepting new patients
The Queens Medical Center CurrentSince Jul 15, 2022 Accepting new patients
The Queen's Medical Center Current Accepting new patients
Queens University Medical Group CurrentSince Jul 11, 2022 Accepting new patients

Locations

91-6390 Kapolei Pkwy
Ste 200
Ewa Beach, HI 96706
Phone (612) 802-2986

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

321 N Kuakini St
Ste 201
Honolulu, HI 96817
Phone (808) 523-8611

405 N Kuakini St
Ste 601
Honolulu, HI 96817
Phone (808) 526-0303

500 Ala Moana Blvd
Ste 6D
Honolulu, HI 96813
Phone (808) 777-4000

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1891395034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 PAWAINA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221352",
            "telephone_number": "808-375-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST STE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176302",
            "telephone_number": "808-686-4655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Kuakini St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968172399",
            "country_code": "US",
            "telephone_number": "808-777-4000",
            "fax_number": "808-447-0571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Ala Moana Blvd Ste 6D",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968134984",
            "country_code": "US",
            "telephone_number": "808-777-4000",
            "fax_number": "808-447-0571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMADA",
        "first_name": "LIANA",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "ARPN-3068",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "HI",
            "license": "APRN-3068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.