Active NPI
Annina M.P. King, PA-C
- Medical Physician Assistant
- Kailua, HI
National Provider Identifier
1902576838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- AMD-1319
- Practice address
- 407 Uluniu St Ste 314
Kailua, HI 96734-2544 - Phone
- (808) 218-7889
- NPI assigned
- Sep 13, 2021
- Last updated
- Dec 22, 2023
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | AMD-1319 | HI | Primary |
Addresses
Primary practice location
407 Uluniu St Ste 314
Kailua, HI 96734-2544
Mailing address
407 Uluniu St Ste 314
Kailua, HI 96734-2544
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Washington School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
407 Uluniu St
Suite 314
Kailua, HI 96734-2544
Phone (808) 218-7889
970 N Kalaheo Ave
Suite C108
Kailua, HI 96734-1871
Phone (800) 218-7889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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.
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- Specialist
- Kailua, HI
- NPI 1215298864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1902576838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 ULUNIU ST STE 314",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 ULUNIU ST STE 314",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342544",
"telephone_number": "808-218-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ANNINA",
"middle_name": "M.P.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "HI",
"license": "AMD-1319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.
- 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.