Individual provider Active NPI

Rachel Alexandra Graham, DNP, FNP-C

  • Family Nurse Practitioner
  • Lahaina, HI
National Provider Identifier
1891412128
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-3818 Issued in HI
Practice address
305 Keawe St Ste 507
Lahaina, HI 96761-2734
Phone
(808) 667-6161
NPI assigned
Oct 26, 2022
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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-3818 HI Primary

Addresses

Primary practice location

305 Keawe St Ste 507
Lahaina, HI 96761-2734

Mailing address

5131 Hanawai St Apt F
Lahaina, HI 96761-8805
Phone (808) 269-7900

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
I20230111003183 HI Practitioner - Nurse Practitioner 7719357540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RP Medical LLCGroup PAC ID 3779877485, 19 clinicians

Practice addresses (Care Compare)

305 Keawe St
Suite 507
Lahaina, HI 96761-2734
Phone (808) 667-6161

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RP Medical LLC CurrentSince Dec 15, 2022 Accepting new patients

Locations

270 Dairy Rd
Ste 239
Kahului, HI 96732

305 Keawe St
Ste 507
Lahaina, HI 96761
Phone (808) 667-7676

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": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1891412128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 HANAWAI ST APT F",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967618805",
            "telephone_number": "808-269-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 KEAWE ST STE 507",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967612734",
            "telephone_number": "808-667-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "RACHEL",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lahaina, HI

Sources for this page

Verify at the official NPI Registry.