Kamomilani Anduha Wong, PHD, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN55102 Issued in HI

Practice address

1314 S King St Ste 1555
Honolulu, HI 96814-2073

Phone

(808) 589-5904

NPI assigned

Nov 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1636848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636848000000",
    "number": "1972269991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 ALA MAHAMOE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191765",
            "telephone_number": "808-772-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 1555",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142073",
            "telephone_number": "808-589-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KAMOMILANI",
        "middle_name": "ANDUHA",
        "credential": "PHD, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-14",
        "last_updated": "2021-11-14",
        "certification_date": "2021-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "RN55102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kwong@kidneyhi.org",
            "affiliation": "N",
            "address_1": "1314 S King St Ste 1555",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968142073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joni Wong
• Justine Wong, PA-C
• Kacey Wong
• Kailie Wong, APRN
• Kaley Hio Man Wong
• Katharine Wong, MD
• Kay Sun Wong, PH.D.
• Krystin Wong
• Lara Lyn an Wong, M.D.
• Lawton C.E. Wong, DDS

• Family Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, 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 Nov 14, 2021; 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.