Kids Thrive Pediatrics, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

KIDS THRIVE PEDIATRICS, LLC

Practice address

1520 Liliha St Ste 404
Honolulu, HI 96817-3563

Phone

(808) 545-3567

Fax

(808) 545-3568

NPI assigned

Mar 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kristine Layugan Shaner, MDNPI 1275896433

Title

Owner/Pediatrician

Phone

(808) 545-3567

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Kristine Layugan Shaner, M.D.

  • Pediatrics Physician
  • Honolulu, HI
  • NPI 1275896433
  Medicare reassignment NPD Authorized official
• Christine Setsuko Hara, MD

  • Pediatrics Physician
  • Honolulu, HI
  • NPI 1528050630
  NPD (past)

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1972252526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1024 HOAINAU ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973272",
            "telephone_number": "808-349-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 LILIHA ST STE 404",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173563",
            "telephone_number": "808-545-3567",
            "fax_number": "808-545-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS THRIVE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "SHANER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "LAYUGAN",
        "authorized_official_title_or_position": "OWNER/PEDIATRICIAN",
        "authorized_official_telephone_number": "808-545-3567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Tamotsu Kida, M.D.
• Daniel Curtis Hiromi Kidani, M.D.
• Patricia F Kido
• Kids First Therapy, LLC
• Kids Individual Development Services Hi LLC
• Kidshine Honolulu LLC
• Eric S Kiechle, MD
• Elizabeth Kiefer, M.D.
• Eva Kiezik, D.M.D.
• Keiko Kihara

• Health Service Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Health Service Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.