Active NPI
Island Health LLC
Doing business as Island Health
- Family Nurse Practitioner
- Kea'au, HI
National Provider Identifier
1992571087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ISLAND HEALTH LLC
- Doing business as
- Island Health
- Practice address
- 16-590 Old Volcano Rd Ste B
Keaau, HI 96749-8158 - Phone
- (808) 769-2373
- Fax
- (808) 333-5672
- NPI assigned
- Nov 29, 2023
- Last updated
- Dec 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Schultz, FNP
- Title
- Owner
- Phone
- (808) 769-2373
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
16-590 Old Volcano Rd Ste B
Keaau, HI 96749-8158
Mailing address
PO Box 1664
Keaau, HI 96749-1664
Phone (808) 769-2373
Other names 1
- Island Health
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Kea'au, HI
- NPI 1235438433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702857600000",
"number": "1992571087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1664",
"city": "KEAAU",
"state": "HI",
"postal_code": "967491664",
"telephone_number": "808-769-2373",
"fax_number": "808-333-5672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16-590 OLD VOLCANO RD STE B",
"city": "KEAAU",
"state": "HI",
"postal_code": "967498158",
"telephone_number": "808-769-2373",
"fax_number": "808-333-5672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-29",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A",
"authorized_official_last_name": "SCHULTZ",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-769-2373",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Island Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kea'au, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.