Ka Hoailona Rural Health Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

865 Issued in HI

Legal business name

KA HOAILONA RURAL HEALTH CLINIC

Practice address

107B Ala Malama St
Kaunakakai, HI 96748

Phone

(808) 553-4368

Fax

(888) 388-2307

NPI assigned

Mar 8, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Mary Louise Hoffman, FNP

Title

Owner

Phone

80855343668

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1982978904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1509",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "967481509",
            "telephone_number": "808-553-4368",
            "fax_number": "888-388-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107B ALA MALAMA ST",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "96748",
            "telephone_number": "808-553-4368",
            "fax_number": "888-388-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KA HOAILONA RURAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "80855343668",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FW296A",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Hutchins
• Imi Ola
• Glenn S. Izawa, LSW
• Michele Jones, L.AC.
• Atharva Prashant Joshi, MD
• Solomon Kimokeo Kahalewai
• Kamahina Kaiama-Kanuha
• Brittney J Keith, PSYD
• Barbara Kelly, M.D.
• Kristina Faye Lacno

• Family Nurse Practitioner in Kaunakakai, HI
• Providers in Kaunakakai, 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 Jan 14, 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.