TRACI LYNN STEVENSON (NPI# 1669777512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669777512 |
| Entity Type | Individual |
| Full Name | TRACI LYNN STEVENSON |
| Other Name | TRACI LYNN MOSHER |
| Credential | D.O, |
| Practice Address |
28 Kamoi St Suite 600 Kaunakakai HI 96748-2040 |
| Mailing Address |
Po Box 2040 Kaunakakai HI 96748-2040 |
| Practice Telephone | 8085534500 |
| Mailing Telephone | 8085534500 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DOS1369 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
28 KAMOI ST SUITE 600 |
| City | KAUNAKAKAI |
| State | HI |
| Zip Code | 96748-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093782013 | Jon Wataoka | Pharmacist | 28 Kamoi St, Kaunakakai, HI 96748 | 2006-03-08 |
| 1184097677 | Nalu Dental LLC | Dentist | 28 Kamoi St, Suite #200, Kaunakakai, HI 96748-0841 | 2015-11-05 |
| 1568789402 | Boki Chung | Dentist | 28 Kamoi St, Ste 700, Kaunakakai, HI 96748-2040 | 2010-05-03 |
| 1053474221 | St. Francis Medical Center - Molokai Dialysis | Clinic/Center | 28 Kamoi St, Suite 400, Kaunakakai, HI 96748 | 2006-12-19 |
| 1144284340 | Molokai Drugs, Inc. | Pharmacy | 28 Kamoi St, Ste 100, Kaunakakai, HI 96748 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056154 | Molokai Physical Therapy & Rehabilitation LLC | Clinic/Center | 109 Ala Malama St Unit A, Kaunakakai, HI 96748 | 2020-06-05 |
| 1053953612 | Natalie Luczon | Massage Therapist | 30 Oki Pl, Kaunakakai, HI 96748 | 2019-10-15 |
| 1346753712 | Hawaii Life Flight, LLC | Ambulance | 317 Ilio Road, Kaunakakai, HI 96748 | 2017-11-08 |
| 1285008565 | Dino Akai | Nurse Practitioner | 30 Oki Pl., Kaunakakai, HI 96748 | 2015-11-24 |
| 1730567181 | Pakolea Rehab | Residential Treatment Facility, Physical Disabilities | 2 Kamoi St, Suite 300, Kaunakakai, HI 96748 | 2015-05-18 |
| 1366843740 | Dean K Chow | Chiropractor | 101 Ala Malama St Ste 103, Kaunakakai, HI 96748 | 2014-09-04 |
| 1427491448 | Genevieve F Correa | Physical Therapist | 93 Ala Malama Ave, Building B Unit A, Kaunakakai, HI 96748 | 2013-04-09 |
| 1679800882 | Ka Hale Pomaika'i | Community/Behavioral Health | Hc-01 Box 372 Kamehameha V Hwy, Ualapu'e, HI 96748 | 2009-11-09 |
| 1811222854 | Chris K Chow Dds Inc | Dentist | 15 Kaunakakai Pl, Suite 6, Kaunakakai, HI 96748 | 2009-10-08 |
| 1669605598 | Hale Ho'okupa'a | Community/Behavioral Health | 450 Ala Malama Avenue, Kaunakakai, HI 96748 | 2009-08-26 |
| Find all providers in zip 96748 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013370949 | Jennifer P Nguyen | Family Medicine | 39 Ala Malama St, Kaunakakai, HI 96748-9674 | 2016-03-29 |
| 1215107883 | Jacob Zivotofsky | Family Medicine | 28 Kamoi, Suite 600, Kaunakakai, HI 96748-0001 | 2008-03-10 |
| 1992923049 | Naomi Lynnea Burr | Family Medicine | 280 Home'olu Place, Kaunakakai, HI 78256 | 2007-04-23 |
| 1295880854 | Daniel Stephen Mcguire | Family Medicine | 130 Kam V Hwy, Kaunakakai, HI 96748 | 2007-01-24 |
| 1821174848 | Noa E. Aluli | Family Medicine | 39 Alamalama Street, Kaunakakai, HI 96748 | 2006-10-31 |
| 1609124221 | Aluli and Reyes LLP | Family Medicine | 39 Ala Malama St., Kaunakakai, HI 96748-1100 | 2012-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225657307 | Healing Tides Primary Care LLC | Family Medicine | 1110 Nuuanu Ave # A1-182, Honolulu, HI 96817-5119 | 2020-04-09 |
| 1417597063 | Krissy Nichole English | Family Medicine | 65-1116 Hokuula Rd, Kamuela, HI 96743-8355 | 2020-01-12 |
| 1184288102 | Yoonhwan Roh | Family Medicine | 95-390 Kuahelani Ave # J1, Mililani, HI 96789-1192 | 2019-04-24 |
| 1427514645 | Ohana Pacific Medical LLC | Family Medicine | 94-1221 Ka Uka Blvd Unit 108-166, Waipahu, HI 96797-6202 | 2019-02-12 |
| 1265902555 | Liana Tsuruko Kobayashi | Family Medicine | 98-1005 Moanalua Rd Spc 3030, Aiea, HI 96701-4735 | 2018-11-28 |
| 1508332610 | Jasdo, Inc. | Family Medicine | 73-4330 Keo Keo Street, Kailua-kona, HI 96745 | 2018-10-16 |
| 1124506845 | Big Island Family Medicine Inc | Family Medicine | 670 Ponahawai St Ste 207, Hilo, HI 96720-7830 | 2018-08-03 |
| 1669961322 | Micah David | Family Medicine | 1188 Bishop St Ste 802a, Honolulu, HI 96813-3303 | 2018-05-08 |
| 1639666233 | Kahuku Medical Center | Family Medicine | 66-214 Haleiwa Rd, Haleiwa, HI 96712-1510 | 2018-04-18 |
| 1033627930 | Bridget Collins, Md, LLC | Family Medicine | 3175 Elua St Ste C, Lihue, HI 96766-1203 | 2018-01-14 |
| Find all providers with the same taxonomy | ||||
| City | KAUNAKAKAI |
| Zip Code | 96748 |
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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.