Elizabeth J. Dettweiler, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-135 Issued in HI

Practice address

45-602 Kamehameha Hwy
Kaneohe, HI 96744-2017

Phone

(808) 432-3800

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hawaii Permanente Medical Group Inc

  • Health Maintenance Organization
  • Honolulu, HI
  • NPI 1710945969
  NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1962584011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-602 KAMEHAMEHA HWY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442017",
            "telephone_number": "808-432-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-602 KAMEHAMEHA HWY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442017",
            "telephone_number": "808-432-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETTWEILER",
        "first_name": "ELIZABETH",
        "middle_name": "J.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530859-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelyn Adorable De Guzman, DDS
• Alain Soledad De Vera, P.T.
• Dental World Kaneohe LLC (Windward Dental World)
• Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
• Dept. of Health-Hawaii-Developmental Disabilities Division Cmu4
• Dialysis Newco LLC (U.S. Renal Care Ko'Olau Dialysis)
• Dialysis Newco LLC (U.S. Renal Care Windward Dialysis)
• Tara Dixon
• Jessica Maria Dixson, MPH, RD
• Clair Christine Doctor, LCSW

• Family Nurse Practitioner in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.