Individual provider Active NPI

Shyretha Johnson, APRN, BC PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1922404698
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1088061 Issued in TX
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

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
APRN-51690OtherHISTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716002699 HI Practitioner - Nurse Practitioner 8921513045 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1088061TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J&J Psychiatric Associates LLP Psychiatric/Mental Health PastSince Oct 27, 2024 Accepting new patients
Perspectives Behavioral Health Management, LLC Past Accepting new patients
George Mackel, Pmhnp-BC, LLC Past Accepting new patients
Ohanapsych PastSince Jan 4, 2026 Accepting new patients
George Mackel, Pmhnp-BC, LLC Psychiatric/Mental Health PastSince Jul 22, 2025 Accepting new patients
Greater Austin Psychiatry & Wellness PLLC Psychiatric/Mental Health PastSince Oct 27, 2024 Accepting new patients
Perspectives Behavioral Health Management, LLC Case Manager/Care Coordinator PastSince Feb 1, 2012 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.

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

Verify at the official NPI Registry.