Active NPI
Shyretha Johnson, APRN, BC PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Honolulu, HI
National Provider Identifier
1922404698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1088061
- Practice address
- 928 Nuuanu Ave Ste 1
Honolulu, HI 96817-5190 - Phone
- (808) 777-9460
- Fax
- (808) 217-9174
- NPI assigned
- Nov 7, 2014
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1088061 | TX | Primary |
Addresses
Primary practice location
928 Nuuanu Ave Ste 1
Honolulu, HI 96817-5190
Mailing address
928 Nuuanu Ave Ste 1
Honolulu, HI 96817-5190
Phone (808) 777-9460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN-51690 | Other | HI | STATE OF HAWAII |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250716002699 | HI | Practitioner - Nurse Practitioner | 8921513045 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1088061 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J&J Psychiatric Associates LLP | Psychiatric/Mental Health | Past | Accepting new patients |
| Perspectives Behavioral Health Management, LLC | Past | Accepting new patients | |
| George Mackel, Pmhnp-BC, LLC | Past | Accepting new patients | |
| Ohanapsych | Past | Accepting new patients | |
| George Mackel, Pmhnp-BC, LLC | Psychiatric/Mental Health | Past | Accepting new patients |
| Greater Austin Psychiatry & Wellness PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
| Perspectives Behavioral Health Management, LLC | Case Manager/Care Coordinator | Past | Accepting new patients |
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Hilo, HI
- NPI 1184583585
-
- Rural Health Clinic/Center
- Hilo, HI
- NPI 1609732858
-
- Psychiatric/Mental Health Nurse Practitioner
- Jasper, GA
- NPI 1073111845
Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Austin, TX
- NPI 1902755176
Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Austin, TX
- NPI 1477095750
Psychiatric/Mental Health
-
- Mental Health Counselor
- Fort Smith, AR
- NPI 1124273420
-
- Psychiatry Physician
- Barling, AR
- NPI 1588709646
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1922404698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 NUUANU AVE STE 1",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968175190",
"telephone_number": "808-777-9460",
"fax_number": "808-217-9174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 NUUANU AVE STE 1",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968175190",
"telephone_number": "808-777-9460",
"fax_number": "808-217-9174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SHYRETHA",
"credential": "APRN, BC PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-07",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1088061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF HAWAII",
"identifier": "APRN-51690",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.