Organization Active NPI

BLM Incorporated

Doing business as Hawaii Diabetes Center

  • Diabetes Educator Registered Nurse
  • Kahului, HI
National Provider Identifier
1952465072
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
RN-28445 Issued in HI
Legal business name
BLM INCORPORATED
Doing business as
Hawaii Diabetes Center
Practice address
53 S Puunene Ave
Kahului, HI 96732-2121
Phone
(808) 871-5144
Fax
(808) 877-2430
NPI assigned
Dec 21, 2006
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Mr. Leslie Krenk, RPHNPI 1497798110
Title
Administrative Officer
Phone
(808) 877-6222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X RN-28445 HI Primary

Addresses

Primary practice location

53 S Puunene Ave
Kahului, HI 96732-2121

Mailing address

53 S Puunene Ave
Kahului, HI 96732-2121
Phone (808) 871-5144

Other identifiers 3

IdentifierTypeStateIssuer
9233636OtherHIUHA
541585OtherHIHMA
A 020670-4OtherHIHMSA

Other names 1

  • Hawaii Diabetes Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1952465072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 S PUUNENE AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322121",
            "telephone_number": "808-871-5144",
            "fax_number": "808-877-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S PUUNENE AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322121",
            "telephone_number": "808-871-5144",
            "fax_number": "808-877-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLM INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "KRENK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "808-877-6222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "HI",
            "license": "RN-28445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "9233636",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA",
            "identifier": "541585",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "A 020670-4",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Diabetes Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.