MALIA LEWIS VANNATTA (NPI# 1558870600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558870600 |
| Entity Type | Individual |
| Full Name | MALIA LEWIS VANNATTA |
| Credential | NP |
| Practice Address |
75-184 Hulalalai Rd 302 Kailua Kona HI 96740 |
| Mailing Address |
Po Box 1628 Kamuela HI 96743-1628 |
| Practice Telephone | 8083290111 |
| Practice Fax Number | 8083655811 |
| Mailing Telephone | 8086403466 |
| Mailing Fax Number | 8083655811 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2326 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 53 S Puunene Ave, 101, Kahului, HI 96732 | 8088732020 | 8084468015 |
| Street Address |
75-184 HULALALAI RD 302 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| 1821409236 | Facial808 | Preferred Provider Organization | 73-4520 Hawaii Belt Road, Kailua-kona, HI 96740 | 2014-05-20 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821223124 | Kona Nps LLC | Nurse Practitioner | 74-5027 Tomi Tomi Dr # A, Kailua Kona, HI 96740-8114 | 2009-05-16 |
| 1669462198 | Susan Joy Kohnke | Nurse Practitioner | 77-6346 Alii Dr, Kailua Kona, HI 96740-2406 | 2005-10-26 |
| 1528503232 | Marina M O'brien-gamble | Nurse Practitioner | 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 | 2017-01-04 |
| 1750479259 | Jacquelyn V Murray | Nurse Practitioner | 75-166 Kalani St, Kailua Kona, HI 96740-1857 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578000899 | Katrina Lu | Nurse Practitioner | 521 Ala Moana Blvd, Honolulu, HI 96813-4913 | 2017-01-24 |
| 1902358641 | Hollie Renee Seward | Nurse Practitioner | 54-316 Kamehameha Hwy Ste 6, Hauula, HI 96717 | 2016-10-28 |
| 1922554211 | Nphousecall, Inc. | Nurse Practitioner | 551 Lii Way, Wailuku, HI 96793-1540 | 2016-08-28 |
| 1912373705 | Laura Reichhardt | Nurse Practitioner | 3166 Alika Ave, Honolulu, HI 96817-1103 | 2015-08-14 |
| 1891136131 | Advent Healthcare & Wellness Inc. | Nurse Practitioner | 2964 Iolani St, Makawao, HI 96768-8531 | 2013-07-15 |
| 1134473366 | Carl T Pitre | Nurse Practitioner | 1329 Lusitana St Ste 609, Honolulu, HI 96813-2431 | 2012-11-09 |
| 1487985966 | Angela K Goodbody | Nurse Practitioner | 3124 Numana Rd, Honolulu, HI 96819-2908 | 2010-01-22 |
| 1508199365 | Justin Eric Henderson | Nurse Practitioner | 619 Kapahulu Ave, Ph, Honolulu, HI 96815-3853 | 2009-09-11 |
| 1740472877 | Tracy Ann Littlefield | Nurse Practitioner | 45-150 Ikenakai St, Kaneohe, HI 96744 | 2007-08-13 |
| 1043427552 | Julie Graham | Nurse Practitioner | 547 12th Ave, Honolulu, HI 96816-2244 | 2007-05-16 |
| Find all providers with the same taxonomy | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
Please comment or provide details below to improve the information on MALIA LEWIS VANNATTA.
| 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.