MRS. COURTNEY DECONTO (NPI# 1588996565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588996565 |
| Entity Type | Individual |
| Full Name | MRS. COURTNEY DECONTO |
| Credential | APRN |
| Practice Address |
91-2141 Fort Weaver Rd Ewa Beach HI 96706-1993 |
| Mailing Address |
99-1001 Manako St Aiea HI 96701-3000 |
| Practice Telephone | 8086913340 |
| Mailing Telephone | (203) 444-9444 |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2017-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN-84811 | HI | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN-2220 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
91-2141 FORT WEAVER RD |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-1993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359861 | Audie Asistin | Anesthesiology | 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2005-07-09 |
| 1851901037 | Mazie-rose Coloma | Nurse Practitioner | 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2020-08-03 |
| 1245852987 | Christopher Lai Hipp | Pharmacist | 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2020-05-16 |
| 1972159713 | Fong Chun Kwok | Dietitian, Registered | 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2019-08-16 |
| 1265944706 | Ashley Renea | Nurse Practitioner | 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2017-10-24 |
| 1366890469 | Deep Patel | Internal Medicine | 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2016-05-31 |
| 1649639790 | Kaleilehua Hulihee Bruchal | Registered Nurse | 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2016-02-17 |
| 1730544339 | Shawne Hampton | Clinical Nurse Specialist | 91-2141 Fort Weaver Rd, Quality and Safety, Ewa Beach, HI 96706-1993 | 2015-12-23 |
| 1801298708 | The Queen's Medical Center | General Acute Care Hospital | 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2014-09-23 |
| 1598185357 | The Queen's Medical Center | Pharmacy | 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2014-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306267935 | Bryscen Prothero | Nurse Practitioner | 91-1089 Kaiko St, Ewa Beach, HI 96706-6035 | 2013-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306382700 | Katherine Finn Davis | Nurse Practitioner | 2528 Mccarthy Mall, Webster Hall 410, Honolulu, HI 96822-2214 | 2017-01-10 |
| 1053860650 | Lindsey Elizabeth Kauimalula Guth | Nurse Practitioner | 871 Lahainaluna Rd, Lahaina, HI 96761-1329 | 2016-09-25 |
| 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 |
| 1831437953 | Tammie Katherine Yukie Napoleon | Nurse Practitioner | 1461 Kuhio Highway, Kapaa, HI 96746-9307 | 2013-01-24 |
| 1336448158 | Jeanette Champeau Leitner | Nurse Practitioner | 30 Aulike St Ste 500, Kailua, HI 96734-2752 | 2011-03-18 |
| 1609107655 | Kaberi K Mozumder | Nurse Practitioner | 120 Makani Rd, Makawao, HI 96768 | 2010-01-14 |
| 1689862856 | Anne Kinuyo Jinbo | Nurse Practitioner | 420 Kuwili St, Honolulu, HI 96817-5050 | 2007-10-11 |
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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.