THE LAVENDER CLINIC (NPI# 1346643236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346643236 |
| Entity Type | Organization |
| Organization Name | THE LAVENDER CLINIC |
| Practice Address |
3221 Waialae Ave Ste 360 Honolulu HI 96816-5849 |
| Practice Telephone | 8087442543 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |
| Authorized Official Name | DR. SAMUEL HAWK (CEO / CHAIRMAN OF THE BOARD) |
| Authorized Official Telephone | 8087442543 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
3221 WAIALAE AVE STE 360 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96816-5849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528138096 | Zhan C. Lin | Physical Therapist | 3221 Waialae Ave Ste 360, Honolulu, HI 96816-5849 | 2006-11-09 |
| 1548732225 | Compression Garment Company | Durable Medical Equipment & Medical Supplies | 3221 Waialae Ave Ste 360, Honolulu, HI 96816-5849 | 2018-12-19 |
| 1730666165 | Vanessa Zevallos | Massage Therapist | 3221 Waialae Ave Ste 360, Honolulu, HI 96816-5849 | 2018-07-27 |
| 1396253431 | Jessica M. Ogawa | Physical Therapist | 3221 Waialae Ave Ste 360, Honolulu, HI 96816-5849 | 2018-01-10 |
| 1558728618 | Wendy Newman | Massage Therapist | 3221 Waialae Ave Ste 360, Honolulu, HI 96816-5849 | 2016-01-20 |
| 1992101224 | Dawn Ogden | Social Worker | 3221 Waialae Ave Ste 360, Honolulu, HI 96816-5849 | 2014-11-13 |
| 1104227404 | Hawk Health LLC | Family Medicine | 3221 Waialae Ave Ste 360, Honolulu, HI 96816-5849 | 2014-09-06 |
| 1104996685 | Rachelle Babagay Iopa | Physical Therapist | 3221 Waialae Ave Ste 360, Honolulu, HI 96816-5849 | 2006-11-09 |
| 1316017866 | Kaimuki Care Inc. | Physical Therapist | 3221 Waialae Ave Ste 360, Honolulu, HI 96816-5849 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370439 | Marina Nogues | Nurse Practitioner | 3901b Maunahilu Pl, Honolulu, HI 96816 | 2020-09-08 |
| 1184272007 | Gwen Mikasa | Speech-Language Pathologist | Office of Student Support Medicaid Reimbursement, 475 22nd Ave, Bldg 302, Room 101, Honolulu, HI 96816 | 2019-09-04 |
| 1467009290 | Abigail Hobbs | Occupational Therapist | 475 22nd Ave, Building 302, Rm. 101, Oss, Honolulu, HI 96816 | 2019-08-26 |
| 1588210587 | Mona Ann Hiyoto Akina | Speech-Language Pathologist | 475 2nd Ave., Room 127, Honolulu, HI 96816 | 2019-08-15 |
| 1356996599 | Karen Amanda Kama | Speech-Language Pathologist | Office of Student Support Services, 475 22nd Avenue Room 101, Honolulu, HI 96816 | 2019-08-05 |
| 1043864630 | Brittni Holt | Speech-Language Pathologist | 475 22nd Ave Building 302 Room 101, Honoluu, HI 96816 | 2019-07-31 |
| 1376197962 | Mallory Register | Speech-Language Pathologist | 475 22nd Avenue, Building 302, Room 101, Honolulu, HI 96816 | 2019-07-31 |
| 1588144935 | Mihoko Yacavone | Dietitian, Registered | 833 15th Ave, Honolulu, HI 96816 | 2018-08-15 |
| 1760976013 | Orthopaedic Specialists Hawaii LLC | Orthopaedic Surgery | 4348 Waialae Ave, Suite 479, Honolulu, HI 96816 | 2018-06-20 |
| 1790207389 | Richard Todd Robbins Jr. | Behavior Technician | 200 N. Vineyard Blvd. Suite A-600, Honolulu, HI 96816 | 2017-07-14 |
| Find all providers in zip 96816 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1366926313 | Doctors of Waikiki | General Practice | 120 Kaiulani Ave Unit 10&11, Honolulu, HI 96815-6203 | 2018-09-15 |
| 1023517968 | Woundtech of Hawaii, Inc | General Practice | 120 Kaiulani Ave Ste 10-11, Honolulu, HI 96815-6203 | 2018-02-06 |
| 1285184796 | Summer Breeze LLC | General Practice | 4211 Waialae #202, Honolulu, HI 96816-5319 | 2016-10-07 |
| 1134540404 | Carolyn J. Mai | General Practice | 1522 Makaloa St, Suite 201, Honolulu, HI 96814-3255 | 2014-01-03 |
| 1316389828 | Robert Henry Nathanson | General Practice | 1520 Ward Ave, #602, Honolulu, HI 96822-3569 | 2013-07-25 |
| 1003156092 | Zhelah B Kayce | General Practice | 1009 Kapiolani Blvd, #4607, Honolulu, HI 96814-2112 | 2013-02-27 |
| 1366763567 | Samuel G Hawk | General Practice | 1345 S Beretania St Ste 101, Honolulu, HI 96814-1802 | 2010-06-22 |
| 1598992919 | Kimberly K Hooverson | General Practice | 1146 Fort Steeet Mall, Honolulu, HI 96813 | 2009-06-11 |
| 1982889028 | David Itsuo Miyauchi | General Practice | 970 Valley View Drive, Honolulu, HI 96819 | 2008-01-08 |
| 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.