MS. NICOLE LOUISE HODGEBOOM (NPI# 1013943455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013943455 |
Entity Type | Individual |
Full Name | MS. NICOLE LOUISE HODGEBOOM |
Credential | NP MS |
Practice Address |
1401 S Beretania St Ste 950 Honolulu HI 96814-1874 |
Practice Telephone | 8089836675 |
Practice Fax Number | 8083737577 |
Mailing Telephone | 8089836675 |
Mailing Fax Number | 8083737577 |
Enumeration Date | 2006-06-25 |
Last Update Date | 2019-06-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN-2521 | HI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1401 S BERETANIA ST STE 950 |
City | HONOLULU |
State | HI |
Zip Code | 96814-1874 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942696489 | Aileen Tanaka | Psychiatry & Neurology | 1401 S Beretania St Ste 950, Honolulu, HI 96814-1874 | 2015-04-11 |
1972868073 | Leah K. W. Dowsett | Medical Genetics | 1401 S Beretania St Ste 950, Honolulu, HI 96814-1874 | 2012-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
Find all providers in zip 96814 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306382700 | Katherine Finn Davis | Nurse Practitioner | 2528 Mccarthy Mall, Webster Hall 410, Honolulu, HI 96822-2214 | 2017-01-10 |
1649636853 | Cortney Crocker | Nurse Practitioner | 1302 Queen Emma St, Honolulu, HI 96813-2366 | 2016-01-05 |
1073919528 | Emma Elizabeth Holland | Nurse Practitioner | 204 Julian Ave, Honolulu, HI 96818-5109 | 2014-11-11 |
1851720502 | Mary Satterfield | Nurse Practitioner | 1803 Kamehameha Iv Rd, Honolulu, HI 96819-2627 | 2013-11-04 |
1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
1689862856 | Anne Kinuyo Jinbo | Nurse Practitioner | 420 Kuwili St, Honolulu, HI 96817-5050 | 2007-10-11 |
1003016049 | Lorena Marie Fujii | Nurse Practitioner | 3228 Moanalua Road, Honolulu, HI 96819 | 2007-07-18 |
1962986679 | Tyler Noel Jansen | Nurse Practitioner | 1319 Punahou St, Honolulu, HI 96826-1001 | 2018-09-18 |
1548614043 | Scott Ninomiya | Nurse Practitioner | 1319 Punahou St, Honolulu, HI 96826-1001 | 2016-04-20 |
1659626323 | Allison K Kishida | Nurse Practitioner | 1319 Punahou St, Suite 600, Honolulu, HI 96826-1001 | 2012-07-19 |
Find all providers in HONOLULU |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.