NPIMap

Organization Active NPI

Koru Health and Beauty, LLC

Doing business as Island DermNurse

  • Family Nurse Practitioner
  • Kamuela, HI
National Provider Identifier
1962926832
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1841 Issued in HI
Legal business name
KORU HEALTH AND BEAUTY, LLC
Doing business as
Island DermNurse
Shellie Norman, APRN
Practice address
64-1035 Mamalahoa Hwy Ste J
Kamuela, HI 96743-8440
Phone
(808) 323-2608
Fax
(808) 885-9793
NPI assigned
Aug 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Shellie Renee Norman, APRN
Title
Owner/Provider
Phone
(808) 339-3595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1841 HI Primary

Addresses

Primary practice location

64-1035 Mamalahoa Hwy Ste J
Kamuela, HI 96743-8440

Mailing address

64-1035 Mamalahoa Hwy Ste J
Kamuela, HI 96743-8440
Phone (808) 323-2608

Other practice location 1

81-6627 Mamalahoa Hwy Ste 101
Kealakekua, HI 96750-8180
Phone (808) 323-2608

Other names 2

  • Island DermNurse Doing business as
  • Shellie Norman, APRN Doing business as

National Provider Directory

National Provider Directory

Locations

81-6627 Mamalahoa Hwy
Ste 101
Kealakekua, HI 96750
Phone (803) 323-3700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962926832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-1035 MAMALAHOA HWY STE J",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438440",
            "telephone_number": "808-323-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-1035 MAMALAHOA HWY STE J",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438440",
            "telephone_number": "808-323-2608",
            "fax_number": "808-885-9793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81-6627 Mamalahoa Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kealakekua",
            "state": "HI",
            "postal_code": "967508180",
            "country_code": "US",
            "telephone_number": "808-323-2608",
            "fax_number": "808-885-9793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KORU HEALTH AND BEAUTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "SHELLIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "808-339-3595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "1841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island DermNurse",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Island DermNurse",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shellie Norman, APRN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.