TREVOR LIDGE (NPI# 1316480429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316480429 |
| Entity Type | Individual |
| Full Name | TREVOR LIDGE |
| Credential | FNP-BC |
| Practice Address |
351 Elliott St Honolulu HI 96819-1817 |
| Practice Telephone | 8088384200 |
| Practice Fax Number | 8088384506 |
| Mailing Telephone | 8088384200 |
| Mailing Fax Number | 8088384506 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN-2113 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
351 ELLIOTT ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255520722 | Leonardo Fetalvero Giron | Internal Medicine | 351 Elliott St, Honolulu, HI 96819-1817 | 2007-10-19 |
| 1437719374 | Paul Nordstrom | Nurse Practitioner | 351 Elliott St, Honolulu, HI 96819-1817 | 2019-06-13 |
| 1619475886 | Nicholas Joseph Munoz | Nurse Practitioner | 351 Elliott St, Honolulu, HI 96819-1817 | 2018-01-23 |
| 1144680869 | Federal Detention Center Honolulu | Clinic/Center | 351 Elliott St, Honolulu, HI 96819-1817 | 2016-02-24 |
| 1891063939 | Birgit Dyer | Nurse Practitioner | 351 Elliott St, Honolulu, HI 96819-1817 | 2011-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| 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.