Joanna Borreta
Individual provider Active NPI Prevention Professional · Makawao, HI
NPI 1992501795 · NPPES record last updated Feb 21, 2025
Key facts
- NPI
- 1992501795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prevention Professional 405300000X
- License
- 462-23M (HI)
- Practice address
- 1931 Baldwin Ave
Makawao, HI 96768-9761 - Phone
- (808) 579-8414
- NPI assigned
- Feb 21, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 462-23M | HI | MD | Prevention Professional |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Malama NA Makua a Keiki | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 462-23M | HI | Yes |
Addresses
Primary practice location
1931 Baldwin Ave
Makawao, HI 96768-9761
Mailing address
50 Manino Cir Apt 103
Kihei, HI 96753-5200
Phone (808) 633-5007
Other providers in Makawao, HI
- Bettina Haerer MD LLC
- Tamara Christine Bexton
- Deniz A Bicakci
- Brennan Bishop-Purkey
- Bodhi Wellness and Psychotherapy LLC
- John Bott
- Catherine Louise Brandon
- Karen Solomon Brewer
- Ellen Wolfe Brewerton
- Bridge Medicine LLC
All providers in Makawao, HI · Prevention Professional in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.