KAILIE WONG (NPI# 1164974127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164974127 |
| Entity Type | Individual |
| Full Name | KAILIE WONG |
| Other Name | KAILIE SHIBA |
| Credential | APRN |
| Practice Address |
550 S Beretania St Ste 601 Honolulu HI 96813-2423 |
| Practice Telephone | 8086918900 |
| Mailing Telephone | 8086918900 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2200 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 810649 | 05 |
| Street Address |
550 S BERETANIA ST STE 601 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093790503 | Mark T Herrington | Nurse Practitioner | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2005-12-08 |
| 1942777388 | Kaitlyn Leary | Nurse Practitioner | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2018-10-24 |
| 1083108039 | Paula Marie Paulsen | Nurse Practitioner | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2018-06-21 |
| 1114457454 | Lianne Sadako Higa | Clinical Nurse Specialist | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2017-06-19 |
| 1205290756 | Marina Hitosugi-levesque | Internal Medicine | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2016-04-11 |
| 1134590508 | Amanda M L Wong | Nurse Practitioner | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2015-10-12 |
| 1689053308 | Lyndsey Rei Okamoto | Nurse Practitioner | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2015-05-27 |
| 1275943755 | Monica Yan Nei Cheung Katz | Family Medicine | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2014-05-06 |
| 1699193391 | Alan Kuo | Internal Medicine | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2014-04-01 |
| 1174872956 | Carol Anne Hepner | Nurse Practitioner | 550 S Beretania St Ste 601, Honolulu, HI 96813-2423 | 2012-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370439 | Marina Nogues | Nurse Practitioner | 3901b Maunahilu Pl, Honolulu, HI 96816 | 2020-09-08 |
| 1417568098 | Marisa Takiguchi | Nurse Practitioner | 1329 Lusitana St Ste 109, Honolulu, HI 96813-2401 | 2020-08-16 |
| 1265050181 | Lauren Brown | Nurse Practitioner | 524 Kaaahi St, Honolulu, HI 96817-4680 | 2020-07-07 |
| 1972120301 | Elizabeth Ann Watts | Nurse Practitioner | 411 Hobron Ln Apt 2212, Honolulu, HI 96815-1215 | 2020-07-01 |
| 1972126845 | Sarah Pirani | Nurse Practitioner | 1839 Poki St Apt 6, Honolulu, HI 96822-3276 | 2020-05-26 |
| 1497378392 | Hannah Cagle | Nurse Practitioner | 2871 Manoa Rd Apt B, Honolulu, HI 96822-7704 | 2020-05-26 |
| 1881228104 | Ashley Wilkins | Nurse Practitioner | 3165 Noni Ln, Honolulu, HI 96818-1488 | 2020-02-25 |
| 1952933855 | Alicia E. Knowles | Nurse Practitioner | 4211 Waialae Ave Ste 1260, Honolulu, HI 96816-5336 | 2020-02-07 |
| 1760954192 | Mie Takizawa Lilavois | Nurse Practitioner | 120 Ka'iulani Ave, #kw 10&11, Honolulu, HI 96815 | 2018-12-25 |
| 1174004725 | John Murray | Nurse Practitioner | 801 South St Apt 2207, Honolulu, HI 96813-5928 | 2018-08-22 |
| 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.